医学
颞肌
外科
泄漏
解剖(医学)
开颅术
脑脊液漏
颞肌
脑脊液
中颅窝
病理
环境工程
工程类
作者
Francesca Graziano,Gianluca Scalia,Federica Paolini,Giuseppe Emmanuele Umana,Rosario Maugeri,Domenico Gerardo Iacopino,Giovanni Federico Nicoletti
出处
期刊:Journal of Craniofacial Surgery
[Ovid Technologies (Wolters Kluwer)]
日期:2022-10-11
卷期号:34 (3): 1067-1070
标识
DOI:10.1097/scs.0000000000009051
摘要
Middle cranial fossa surgery commonly is approached either performing a subtemporal or a pterional craniotomy. To maximize a basitemporal region exposure, an adjunctive bone drilling could be required. In these cases, a watertight dura and temporalis muscle closure are mandatory.To describe a modified temporalis muscle dissection in middle cranial fossa surgery to increase basitemporal region exposure while assuring a safe and effective closure thus avoiding cerebrospinal fluid (CSF) leakage.A total of 8 patients have been enrolled. Five pterional and 3 subtemporal approaches were performed. In all cases, the novel subfascial muscle dissection and temporalis muscle splitting technique named "the double S technique," was performed to cut up the temporal muscle.In all cases, a subgaleal drainage was used and removed within 48 hours. No cases of postoperative CSF leak or hematoma collection were reported.The double S technique is a safe and effective alternative to enhance the basitemporal region exposure while avoiding the potential, common risk of CSF leak.
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