Duraplasty Using Autologous Fascia Lata Reenforced by on-site Pedicled Muscle Flap: Technical Note


Abuzayed B., Kafadar A. M. , Oguzoglu S. A. , Canbaz B., Kaynar M. Y.

JOURNAL OF CRANIOFACIAL SURGERY, vol.20, no.2, pp.435-438, 2009 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 20 Issue: 2
  • Publication Date: 2009
  • Doi Number: 10.1097/scs.0b013e31819b968f
  • Title of Journal : JOURNAL OF CRANIOFACIAL SURGERY
  • Page Numbers: pp.435-438

Abstract

Objective: Postoperative cerebrospinal fluid (CSF) leak is a common complication in the practice of neurosurgery, and various surgical techniques were described to overcome and manage this problem. Besides not applying watertight closure of the duraplasty, the inviability and the poor vascularization of the graft and/or the dura (eg, reoperations, multiple operations, or cranial radiotherapy) may lead to delayed healing of the Suture site and resultant persistent CSF leaks. We present a simple technique that uses on-site muscle flap with pedicle to supply and vascularize the autologous fascia lata, preserving the viability of the graft and reenforcing its healing ability.