Duraplasty in cranial base resection.

Journal Article (Journal Article)

Complications of cerebrospinal fluid leakage following cranial base surgery are a predominant source of morbidity and mortality. The physical properties of the dura in this region, advanced patient age, previous irradiation, and the extent of tumor resection often limit or complicate the reconstructive options available to cranial base surgeons. We describe a technique that delivers vascularized tissue to the dural wound by transposing a dural flap based on the axial pedicle blood supply from the middle meningeal artery. This "duraplasty" can allow primary closure of defects at the cranial base. The donor site, which is less gravitationally dependent, more accessible, and often not affected by radiation therapy, can be closed using traditional methods. Advantages, disadvantages, and indications for this technique are discussed.

Full Text

Duke Authors

Cited Authors

  • Shaffrey, ME; Persing, JA; Shaffrey, CI; Jane, JA

Published Date

  • December 1991

Published In

Volume / Issue

  • 2 / 3

Start / End Page

  • 152 - 155

PubMed ID

  • 1814496

International Standard Serial Number (ISSN)

  • 1049-2275

Digital Object Identifier (DOI)

  • 10.1097/00001665-199112000-00008


  • eng

Conference Location

  • United States