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IFFERENT SURGICAL TECHNIQUES OF SKULL BASE RECONSTRUCTION: EVALUATION AND OUTCOME

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Last updated: 01 Jan 2025

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Abstract

ABSTRACT
Background : cerebrospinal fluid (CSF) leak is the most common complication after skull base surgery. It carries
a high risk of life threatening complications (e.g., tension pneumocephaly, meningitis, cerebritis, and brain
abscess).
Patients and Methods: We present twenty patients, ages 2-55 years, eight males and twelve females with
different skull base pathologies operated by different surgical modalities (microscopic transcranial, endoscopic
endonasal and combined micro-endoscopic techniques) at neurosurgery department, faculty of medicine, Zagazig
University, between Jan. 2016 to Jan. 2018. Prophylactic antibiotics and anticonvulsants were rourtinely given.
Lumbar drain was not used.
Results: the success rate was (95%) and only one patient (5%) developed post operative CSF leak which
responded to conservative measures. This suggests that proper sealing of the skull base defect has been achieved.
There was no infection, no mortality and the long term follow up showed good functional and aesthetic results.
Conclusion: The reconstructive process although being the last step in the surgical procedure, but it's a very
important one. It should be planned well before surgery. Meticulous repair of the already present or resultant
defect should be performed in every case.

DOI

10.21608/zumj.2018.12993

Keywords

Skull base defect, skull base reconstruction, cerebrospinal fluid leakage, dural reconstruction

Authors

First Name

Hazem

Last Name

Soliman

MiddleName

S.

Affiliation

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Email

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City

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Orcid

-

First Name

Samy

Last Name

Mohamed

MiddleName

H.

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Tarek

Last Name

Abdel-Bary

MiddleName

H.

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Abd Elaziz

MiddleName

Reda

Affiliation

-

Email

-

City

-

Orcid

-

Volume

24

Article Issue

1

Related Issue

2472

Issue Date

2018-01-01

Receive Date

2018-09-09

Publish Date

2018-01-01

Page Start

19

Page End

23

Print ISSN

1110-1431

Online ISSN

2357-0717

Article File

ZUMJ_Volume 24_Issue 1_Pages 19-23.pdf

PDF . 575.2kB

Link

https://zumj.journals.ekb.eg/article_12993.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=12993

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3

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

IFFERENT SURGICAL TECHNIQUES OF SKULL BASE RECONSTRUCTION: EVALUATION AND OUTCOME

Details

Type

Article

Created At

22 Jan 2023