Discover how a decade of expertise at a leading center has revolutionized dural reconstruction with free temporalis muscle fascia grafts after the surgical removal of challenging skull base tumors.
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Free temporalis muscle fascia graft in dural reconstruction following surgical resection of intermediate and malignant skull base tumors: A 10-year experience from a single center.
Jurlina et al., Head Neck 2024
<!– DOI: 10.1002/hed.27768 //–>
https://doi.org/10.1002/hed.27768
This study retrospectively analyzed data from 80 patients who underwent dural defect reconstruction with a free temporalis muscle fascia graft (FTFG) after resection of anterior or central skull base tumors. The focus was on the effectiveness of FTFG in preventing postoperative cerebrospinal fluid (CSF) leakage. The findings revealed a low postoperative CSF leakage rate of 3.19%, with no significant difference between open and endonasal endoscopic surgeries (1.92% vs. 4.88%). However, in endonasal endoscopic surgeries, the postoperative CSF leakage rate was significantly linked to the intraoperative CSF leak flow. This study highlights the efficacy of FTFG in dural reconstruction, showing low CSF leakage rates that are comparable to those reported for free fascia lata grafts in the literature. This contributes to the current understanding by providing evidence that FTFG is a reliable option for dural defect reconstruction after skull base tumor resection, with minimal risk of postoperative CSF leakage.