Skip to main content

Duraplasty in cranial base resection.

Publication ,  Journal Article
Shaffrey, ME; Persing, JA; Shaffrey, CI; Jane, JA
Published in: J Craniofac Surg
December 1991

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.

Duke Scholars

Published In

J Craniofac Surg

DOI

ISSN

1049-2275

Publication Date

December 1991

Volume

2

Issue

3

Start / End Page

152 / 155

Location

United States

Related Subject Headings

  • Surgical Flaps
  • Postoperative Complications
  • Meningeal Arteries
  • Humans
  • Head and Neck Neoplasms
  • Female
  • Fascia
  • Dura Mater
  • Dentistry
  • Cerebrospinal Fluid
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Shaffrey, M. E., Persing, J. A., Shaffrey, C. I., & Jane, J. A. (1991). Duraplasty in cranial base resection. J Craniofac Surg, 2(3), 152–155. https://doi.org/10.1097/00001665-199112000-00008
Shaffrey, M. E., J. A. Persing, C. I. Shaffrey, and J. A. Jane. “Duraplasty in cranial base resection.J Craniofac Surg 2, no. 3 (December 1991): 152–55. https://doi.org/10.1097/00001665-199112000-00008.
Shaffrey ME, Persing JA, Shaffrey CI, Jane JA. Duraplasty in cranial base resection. J Craniofac Surg. 1991 Dec;2(3):152–5.
Shaffrey, M. E., et al. “Duraplasty in cranial base resection.J Craniofac Surg, vol. 2, no. 3, Dec. 1991, pp. 152–55. Pubmed, doi:10.1097/00001665-199112000-00008.
Shaffrey ME, Persing JA, Shaffrey CI, Jane JA. Duraplasty in cranial base resection. J Craniofac Surg. 1991 Dec;2(3):152–155.

Published In

J Craniofac Surg

DOI

ISSN

1049-2275

Publication Date

December 1991

Volume

2

Issue

3

Start / End Page

152 / 155

Location

United States

Related Subject Headings

  • Surgical Flaps
  • Postoperative Complications
  • Meningeal Arteries
  • Humans
  • Head and Neck Neoplasms
  • Female
  • Fascia
  • Dura Mater
  • Dentistry
  • Cerebrospinal Fluid