Paramedian Forehead Flap for Repair of Refractory High-Flow Anterior Skull Base CSF Leak

Paramedian Forehead Flap for Repair of Refractory High-Flow Anterior Skull Base CSF Leak.

AIM The paramedian forehead flap (PMFF) has been well described for nasal reconstruction. However, it has never been reported for use in the repair of high flow anterior skull base cerebral spinal fluid (CSF) leaks. MATERIAL AND METHODS The patient is a 55 yo African American male cocaine abuser who initially presented with a high flow anterior skull base CSF leak, extensive pneumocephalus, a...

Paramedian Forehead Flap Raised in the Base of Previously Used Median Forehead Flap Pedicle

Paramedian Forehead Flap Raised in the Base of Previously Used Median Forehead Flap Pedicle

Nose is the most common site of facial skin cancer because of its continuous sun exposure.1 Soft tissue tumors such as basal cell carcinoma (BCC) are the most common tumors of this region. The choice of treatment for BCC is surgical demolitions. Since these tumors grow more aggressively and are so likely to recur from the involved surgical margins, the surgery requires often wide resection of t...

paramedian forehead flap raised in the base of previously used median forehead flap pedicle

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Endoscopic endonasal versus open repair of anterior skull base CSF leak, meningocele, and encephalocele: a systematic review of outcomes.

BACKGROUND Repair of anterior skull base cerebrospinal fluid (CSF) leaks, encephaloceles, and meningoceles can prevent meningitis, intracranial abscess, and pneumocephalus. Various surgical techniques have been employed for repair, including open transcranial and transfacial methods. The endoscopic endonasal approach represents a minimal access but equally aggressive alternative. We conducted a...