一体式双额骨基底开颅联合颅周瓣治疗额窦：我是怎么做的

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-04-17 DOI:10.1007/s00701-025-06528-1

Eiji Ito, Ryotaro Sugita, Mao Yokota, Tadashi Watanabe

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引用次数: 0

摘要

前颅底手术带来的挑战包括脑脊液（CSF）泄漏和美容问题。一种新的一体式双额底颅骨切开术采用颅周皮瓣，以改善预后。方法采用精确钻孔定位、硬脑膜保护开颅、颅周皮瓣封闭额窦。使用微型钢板和螺钉稳定重建，使硬膜外死腔未被填充，降低感染风险。结论该方法减少脑脊液渗漏，提高重建耐久性，保留美观和功能效果，为前颅底手术提供了可靠的入路。

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One-piece bifrontal basal craniotomy with pericranial flap for frontal sinus management: How I Do It

Background

Anterior skull base surgery poses challenges including cerebrospinal fluid (CSF) leakage and cosmetic concerns. A novel one-piece bifrontal basal craniotomy using a pericranial flap was developed to improve outcomes.

Method

The technique included precise burr hole placement, dura-protective craniotomy, and frontal sinus sealing using a pericranial flap. Reconstruction was stabilized using miniplates and screws, leaving the epidural dead space unfilled and lowering infection risks.

Conclusion

This method reduces CSF leakage, enhances reconstruction durability, and preserves cosmetic and functional outcomes, offering a reliable approach for anterior skull base surgery.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.