One-piece bifrontal basal craniotomy with pericranial flap for frontal sinus management: How I Do It.
other · Level V
Where this comes from
- Record sourced from PubMed, PMID 40244298.
- Also identified by DOI 10.1007/s00701-025-06528-1 and PMC identifier 12006261.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
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. 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. This method reduces CSF leakage, enhances reconstruction durability, and preserves cosmetic and functional outcomes, offering a reliable approach for anterior skull base surgery.
Medical subject headings
- Craniotomy
- Frontal Sinus
- Surgical Flaps
- Plastic Surgery Procedures
- Skull Base