Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000051.xml
Semin Plast Surg 2020; 34(04): 286-292
DOI: 10.1055/s-0040-1721765
DOI: 10.1055/s-0040-1721765
Review Article
Complications in Skull Base Surgery and Subsequent Repair
![](https://www.thieme-connect.de/media/sps/202004/lookinside/thumbnails/10-1055-s-0040-1721765_01275-1.jpg)
Abstract
Over the past several decades, endoscopic sinus surgery has revolutionized the approach to skull base surgery. Open skull base approaches remain a viable option for advanced skull base tumors. Complications have gone down with increased reliability of vascularized tissue transfer. In this article, the authors explore the various complications that can present following skull base surgery and review the approaches for repair when such issues are encountered.
Publication History
Article published online:
24 December 2020
© 2020. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 O'Malley Jr BW, Janecka IP. Evolution of outcomes in cranial base surgery. Semin Surg Oncol 1995; 11 (03) 221-227
- 2 Naunheim MR, Sedaghat AR, Lin DT. et al. Immediate and delayed complications following endoscopic skull base surgery. J Neurol Surg B Skull Base 2015; 76 (05) 390-396
- 3 Ruiz-Juretschke F, Mateo-Sierra O, Iza-Vallejo B, Carrillo-Yagüe R. Intraventricular tension pneumocephalus after transsphenoidal surgery: a case report and literature review [in Spanish]. Neurocirugia (Astur) 2007; 18 (02) 134-137
- 4 Solomiichuk VO, Lebed VO, Drizhdov KI. Posttraumatic delayed subdural tension pneumocephalus. Surg Neurol Int 2013; 4: 37
- 5 Dabdoub CB, Salas G, Silveira EdoN, Dabdoub CF. Review of the management of pneumocephalus. Surg Neurol Int 2015; 6: 155
- 6 Emanuelli E, Milanese L, Rossetto M. et al. The endoscopic endonasal approach for cerebrospinal fluid leak repair in the elderly. Clin Neurol Neurosurg 2015; 132: 21-25
- 7 Dias FL, Sá GM, Kligerman J. et al. Complications of anterior craniofacial resection. Head Neck 1999; 21 (01) 12-20
- 8 Brodie HA, Thompson TC. Management of complications from 820 temporal bone fractures. Am J Otol 1997; 18 (02) 188-197
- 9 Dahiya R, Keller JD, Litofsky NS, Bankey PE, Bonassar LJ, Megerian CA. Temporal bone fractures: otic capsule sparing versus otic capsule violating clinical and radiographic considerations. J Trauma 1999; 47 (06) 1079-1083
- 10 Nosan DK, Benecke Jr JE, Murr AH. Current perspective on temporal bone trauma. Otolaryngol Head Neck Surg 1997; 117 (01) 67-71
- 11 Califano J, Cordeiro PG, Disa JJ. et al. Anterior cranial base reconstruction using free tissue transfer: changing trends. Head Neck 2003; 25 (02) 89-96
- 12 Neligan PC, Mulholland S, Irish J. et al. Flap selection in cranial base reconstruction. Plast Reconstr Surg 1996; 98 (07) 1159-1166 , discussion 1167–1168
- 13 Costa H, Cerejo A, Baptista A. et al. The galea frontalis myofascial flap in anterior fossa CSF leaks. Br J Plast Surg 1993; 46 (06) 503-507
- 14 Rocchi G, Caroli E, Belli E, Salvati M, Cimatti M, Delfini R. Severe craniofacial fractures with frontobasal involvement and cerebrospinal fluid fistula: indications for surgical repair. Surg Neurol 2005; 63 (06) 559-563 , discussion 563–564
- 15 Gray ST, Lin A, Curry WT. et al. Delayed complications after anterior craniofacial resection of malignant skull base tumors. J Neurol Surg B Skull Base 2014; 75 (02) 110-116
- 16 Yoshioka N, Tominaga S. Titanium mesh implant exposure due to pressure gradient fluctuation. World Neurosurg 2018; 119: e734-e739
- 17 Patron V, Roger V, Moreau S, Babin E, Hitier M. State of the art of endoscopic frontal sinus cerebrospinal fluid leak repair. Eur Ann Otorhinolaryngol Head Neck Dis 2015; 132 (06) 347-352
- 18 Saafan ME, Albirmawy OA, Tomoum MO. Sandwich grafting technique for endoscopic endonasal repair of cerebrospinal fluid rhinorrhoea. Eur Arch Otorhinolaryngol 2014; 271 (05) 1073-1079
- 19 Soudry E, Turner JH, Nayak JV, Hwang PH. Endoscopic reconstruction of surgically created skull base defects: a systematic review. Otolaryngol Head Neck Surg 2014; 150 (05) 730-738
- 20 Ketcham AS, Hoye RC, Van Buren JM, Johnson RH, Smith RR. Complications of intracranial facial resection for tumors of the paranasal sinuses. Am J Surg 1966; 112 (04) 591-596
- 21 Ketcham AS, Wilkins RH, Vanburen JM, Smith RR. A combined intracranial facial approach to the paranasal sinuses. Am J Surg 1963; 106: 698-703
- 22 Smith JE, Ducic Y. The versatile extended pericranial flap for closure of skull base defects. Otolaryngol Head Neck Surg 2004; 130 (06) 704-711
- 23 Sokoya M, Bahrami A, Cohn J, Kadakia S, Mourad M, Ducic Y. Orbital skull base reconstruction with temporalis muscle: the sphenoid keyhole technique. Craniomaxillofac Trauma Reconstr 2018; 2 (01) e27-e30
- 24 Patel R, Buchmann LO, Hunt J. The use of the temporoparietal fascial flap in preventing CSF leak after lateral skull base surgery. J Neurol Surg B Skull Base 2013; 74 (05) 311-316
- 25 Inman J, Ducic Y. Intracranial free tissue transfer for massive cerebrospinal fluid leaks of the anterior cranial fossa. J Oral Maxillofac Surg 2012; 70 (05) 1114-1118
- 26 Pryor SG, Moore EJ, Kasperbauer JL. Orbital exenteration reconstruction with rectus abdominis microvascular free flap. Laryngoscope 2005; 115 (11) 1912-1916
- 27 Hanasono MM, Sacks JM, Goel N, Ayad M, Skoracki RJ. The anterolateral thigh free flap for skull base reconstruction. Otolaryngol Head Neck Surg 2009; 140 (06) 855-860
- 28 Granick MS, Ramasastry SS, Newton ED, Solomon MP, Hanna DC, Kaltman S. Reconstruction of complex maxillectomy defects with the scapular-free flap. Head Neck 1990; 12 (05) 377-385
- 29 Swartz WM, Banis JC, Newton ED, Ramasastry SS, Jones NF, Acland R. The osteocutaneous scapular flap for mandibular and maxillary reconstruction. Plast Reconstr Surg 1986; 77 (04) 530-545
- 30 Brown JS. Deep circumflex iliac artery free flap with internal oblique muscle as a new method of immediate reconstruction of maxillectomy defect. Head Neck 1996; 18 (05) 412-421
- 31 Anthony JP, Foster RD, Sharma AB, Kearns GJ, Hoffman WY, Pogrel MA. Reconstruction of a complex midfacial defect with the folded fibular free flap and osseointegrated implants. Ann Plast Surg 1996; 37 (02) 204-210
- 32 Futran ND, Wadsworth JT, Villaret D, Farwell DG. Midface reconstruction with the fibula free flap. Arch Otolaryngol Head Neck Surg 2002; 128 (02) 161-166