Frontal sinus repair after bifrontal craniotomy: A single center experience

Year 2023, Volume: 40 Issue: 2, 337 - 340, 19.07.2023

Emrullah Cem Kesilmez , Zafer Yüksel

Abstract

In this study, we analyzed the patients who underwent surgery using their adipose tissue, which is a practical and economical approach to the reconstructing the frontal sinus during bifrontal craniotomy. The study aimed to evaluate the economic feasibility and safety of this classical technique to repair the frontal sinus and reduce complications.Patients who were underwent bifrontal craniotomy for anterior skull base tumors and underwent intraoperative frontal sinus repair between January 1, 2016 and January 1, 2022 were retrospectively evaluated. Demographic characteristics of the patients (age, gender), duration of hospitalization, etiological causes, post operation complications, management of complications, and follow-up periods were analyzed.A total of 25 patients were included in the study. Of the patients, 11 were male (46%) and 14 were female (54%). The median age of the patients was 59 (49.5–66) years. The median duration of hospitalization and follow-up period were 7 (6–8.5) days and 27 (17–48) months, respectively. Cerebrospinal fluid leakage developed as a complication in only one patient (4%) in the postoperative period. We applied the classical technique of using the patient's own adipose tissue for repair after frontal sinus opening that occurs in bifrontal craniotomies for anterior skull base tumors. This is a practical, effective, and economical method that causes less harm to patients.

Keywords

bifrontal craniotomy, frontal sinus, reconstruction

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