Cosmetic and functional reconstruction achieved using a split myofascial bone flap for pterional craniotomy - Technical note

Citation
K. Matsumoto et al., Cosmetic and functional reconstruction achieved using a split myofascial bone flap for pterional craniotomy - Technical note, J NEUROSURG, 94(4), 2001, pp. 667-670
Citations number
21
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Neurology,"Neurosciences & Behavoir
Journal title
JOURNAL OF NEUROSURGERY
ISSN journal
0022-3085 → ACNP
Volume
94
Issue
4
Year of publication
2001
Pages
667 - 670
Database
ISI
SICI code
0022-3085(200104)94:4<667:CAFRAU>2.0.ZU;2-V
Abstract
Cosmetic deformities that appear following pterional craniotomy are usually caused by temporal muscle atrophy, injury to the frontotemporal branch of the facial nerve, or bone pits in the craniotomy line. To resolve these pro blems during pterional craniotomy, an alternative method was developed in w hich a split myofascial bone flap and a free bone flap are used. The author s have used this method in the treatment of 40 patients over the last 3 yea rs. Excellent cosmetic and functional results have been obtained. This meth od can provide wide exposure similar to that achieved using Yasargil's inte rfascial pterional craniotomy, without limiting the operative field with a bulky temporal muscle flap.