caa a22 4500 606213465 CHVBK 20210128101047.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00701-014-2273-8 doi (NATIONALLICENCE)springer-10.1007/s00701-014-2273-8 Reconstruction of the anterior skull base after major trauma or extensive tumour resection [Elektronische Daten] [Stefan König, Sebastian Ranguis, Veronika Gramlich, Uwe Spetzger] Background: The authors describe their experience with the reconstruction of complex anterior skull base defects after trauma or tumour resection using a "sandwich” technique with pericranial flap, titanium mesh and TachoSil. Methods: Description of surgical anatomy, surgical technique, indications, limitations, complications, specific perioperative considerations and specific information to give to the patient about surgery and potential risks. A summary of ten key points is given. Conclusions: After a bifrontal craniotomy and a subfrontal approach, it is possible to achieve a reliable reconstruction of the anterior skull base in a watertight manner by fixing a pericranial flap or a fascia lata graft to the orbital roofs and planum sphenoidale with an individually tailored titanium mesh and closing the frontobasal dura leasion with TachoSil. Springer-Verlag Wien, 2014 Anterior skull base nationallicence Reconstruction nationallicence Titanium mesh nationallicence Pericranial flap nationallicence Sandwich technique nationallicence König Stefan Neurochirurgische Klinik, Klinikum Karlsruhe, Moltkestr. 90, 76133, Karlsruhe, Germany aut Ranguis Sebastian Department of Otolaryngology, Gosford Hospital, Gosford, Australia aut Gramlich Veronika Neurochirurgische Klinik, Klinikum Karlsruhe, Moltkestr. 90, 76133, Karlsruhe, Germany aut Spetzger Uwe Neurochirurgische Klinik, Klinikum Karlsruhe, Moltkestr. 90, 76133, Karlsruhe, Germany aut Acta Neurochirurgica Springer Vienna 157/1(2015-01-01), 139-144 0001-6268 157:1<139 2015 157 701 https://doi.org/10.1007/s00701-014-2273-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-014-2273-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- König Stefan Neurochirurgische Klinik, Klinikum Karlsruhe, Moltkestr. 90, 76133, Karlsruhe, Germany aut NATIONALLICENCE 700 1- Ranguis Sebastian Department of Otolaryngology, Gosford Hospital, Gosford, Australia aut NATIONALLICENCE 700 1- Gramlich Veronika Neurochirurgische Klinik, Klinikum Karlsruhe, Moltkestr. 90, 76133, Karlsruhe, Germany aut NATIONALLICENCE 700 1- Spetzger Uwe Neurochirurgische Klinik, Klinikum Karlsruhe, Moltkestr. 90, 76133, Karlsruhe, Germany aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/1(2015-01-01), 139-144 0001-6268 157:1<139 2015 157 701