Work

One-piece bifrontal basal craniotomy with pericranial flap for frontal sinus management: How I Do It

Year: 2025

Type: article

Abstract: BACKGROUND: Anterior skull base surgery poses challenges including cerebrospinal fluid (CSF) leakage and cosmetic concerns. A novel one-piece bifrontal basal craniotomy using a pericranial flap was developed to improve outcomes. METHOD: The technique included precise burr hole placement, dura-protective craniotomy, and frontal sinus sealing using a pericranial flap. Reconstruction was stabilized using miniplates and screws, leaving the epidural dead space unfilled and lowering infection risks. CONCLUSION: This method reduces CSF leakage, enhances reconstruction durability, and preserves cosmetic and functional outcomes, offering a reliable approach for anterior skull base surgery.

Source: Acta Neurochirurgica

DOI: 10.1007/s00701-025-06528-1

Authors: Eiji Ito, Ryotaro Sugita, Mao Yokota, Tadashi Watanabe

Institutions: Aichi Medical University, Aichi Medical University Hospital, Gifu Prefectural Tajimi Hospital

Language: English

Topic: Head and Neck Surgical Oncology

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,990