Acta neurochirurgica · 2026
How I do it - exoscopic retractorless anterior skull base reconstruction using a pedicled pericranial flap for post-traumatic CSF leak.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Veldeman Michael, Houmes Mark Johannes Marinus, Clusmann Hans, Hamou Hussam
Аннотация
BACKGROUND: Traumatic anterior cranial fossa fractures complicated by cerebrospinal fluid (CSF) fistulas carry the risk of ascending meningitis.
METHOD: We describe our standardised technique for anterior cranial fossa repair via a bifrontal craniotomy, including preparation of a pericranial flap, closure of the frontal sinus, bilateral olfactory nerve dissection, and intradural pericranial reconstruction.
CONCLUSION: A systematic, anatomically informed approach enables durable watertight repair with acceptable morbidity. If surgery is properly timed after cerebral swelling has resolved, and CSF is drained, retractorless surgery prevents injury to the inferior face of the frontal lobes.
METHOD: We describe our standardised technique for anterior cranial fossa repair via a bifrontal craniotomy, including preparation of a pericranial flap, closure of the frontal sinus, bilateral olfactory nerve dissection, and intradural pericranial reconstruction.
CONCLUSION: A systematic, anatomically informed approach enables durable watertight repair with acceptable morbidity. If surgery is properly timed after cerebral swelling has resolved, and CSF is drained, retractorless surgery prevents injury to the inferior face of the frontal lobes.