RESUMO
During skull base surgery, reconstruction of the dura is a very important procedure. Here, the use of a temporofrontal pedicled fascia flap tunnelled between temporal muscle fibres is described. This technique is easily performed and has a low postoperative morbidity, including skin and temporal muscle complications.
Assuntos
Dura-Máter/cirurgia , Procedimentos Neurocirúrgicos/métodos , Procedimentos de Cirurgia Plástica/métodos , Base do Crânio/cirurgia , Retalhos Cirúrgicos , Músculo Temporal , Idoso , Fáscia , Feminino , Humanos , Meningioma/cirurgia , Neoplasias da Base do Crânio/cirurgia , Osso Esfenoide/cirurgia , Resultado do TratamentoRESUMO
Elongated styloid process is an often-caused symptom due to the compression of neighboring structures. We present a case of a graft kink of high-flow bypass due to an elongated styloid process and describe the technical pitfalls encountered when creating a graft route from the standpoint of the anatomical site.
Assuntos
Aneurisma/cirurgia , Artéria Carótida Interna/cirurgia , Osso Temporal/cirurgia , Idoso , Aneurisma/diagnóstico , Feminino , Humanos , Osso Temporal/irrigação sanguínea , Tomografia Computadorizada por Raios X/métodos , Resultado do TratamentoRESUMO
In general, carotid endarterectomy(CEA)for high cervical internal carotid artery(ICA)stenosis is considered a difficult technique. Among 132 patients who underwent CEA between May, 1996 and December, 2012 in our institute, 22 showed high cervical ICA stenosis. A wide operation field was obtained by wide range dissection of shallow anatomical structures without special techniques and the first cervical vertebra was palpable in all patients. All patients underwent CEA and adverse events occurred in 4 patients. We describe the technique and pitfalls of CEA for high cervical ICA stenosis from the anatomical viewpoint.
Assuntos
Estenose das Carótidas/cirurgia , Endarterectomia das Carótidas , Adulto , Idoso , Idoso de 80 Anos ou mais , Endarterectomia das Carótidas/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevenção Secundária , Tomografia Computadorizada por Raios X/métodos , Resultado do TratamentoRESUMO
A 29-year-old man presented with skull base fractures involving the bilateral petrous bones and clivus to the posterior clinoid process manifesting as bilateral abducens nerves palsy. Conservative treatment resulted in residual bilateral abducens nerves palsy. Posterolateral impact probably resulted in strain-stress in the neighborhood of the foramen lacerum, resulting in a clivus fracture of the posterior clinoid process and bilateral petrous bone fractures. Chalasia of Gruber's ligament then exerted mechanical pressure on the bilateral abducens nerves.