전두사골 뇌수막류의 폐쇄를 위한 양경 측두근골막피판의 유용성 = Usefulness of Bipedicle Temporalis-pericranial Flap for Closure of Frontoethmoidal Encephalomeningoceles

다국어 초록 (Multilingual Abstract)

Purpose: To close anterior cranial base, various types
of pedicle flaps have been developed previously. However,
the results of those pedicle flaps were not constant. To solve
such problem, the author designed bipedicle temporalispericranial
(BTP) flap based on various types of existing
flaps and this study intends to introduce this flap and present
clinical application case.
Methods: The pedicle of the proposed temporalispericranial
flap is temporalis muscle. The point of this BTP
flap is that because of both sides of the unilateral temporalispericranial
flap are connected by midline pericranial tissue
connected with dense vascular network communicate one
another locally, that BTP flap can be safely elevated. The
case is a 14 months old male patient of frontoethmoidal
encephalomeningocele. Surgery was done in a way that
after elevating BTP flap and removing encephalomeningocele,
BTP flap was moved intracranially, and to prevent
cerebrospinal fluid leakage, anterior cranial base was
closed.
Results: During 1 year and 6 month outpatient tracking
observation, no particular finding like CSF leakage, meningitis
or hydrocephalus was observed.
Conclusion: The benchmarked BTP flap, effective in the
treatment of frontoethmoidal encephalomeningocele, is one
of the methods to close intracranium and extracranium.

참고문헌 (Reference)

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