Split, Temporalis Muscle Flap for Repair of Recalcitrant Cerebrospinal Fluid Leaks of the Anterior Cranial Fossa

Abstract

Cerebrospinal fluid repair after dural disruption is critical in preventing morbidity and mortality in trauma and cancer patients. Among reconstructive options, coverage with the temporalis muscle has been a staple in many surgeons' armamentarium. However, the donor-site morbidity has been a major drawback in the use of this technique. Here, we present our method of split, temporalis harvest for anterior cranial base reconstruction, which seeks to regain dural integrity, while maintaining aesthetic and functional elements of the donor site. We present 2 patients, demonstrating the ease of harvest, fulfillment of both cosmetic and reconstructive goals, widespread applicability, and versatility of our split, temporalis muscle flap.

View details for DOI 10.1097/SCS.0b013e3182418f18

View details for Web of Science ID 000302171700084

View details for PubMedID 22421850