Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Modified Anterior Craniofacial Osteotomy Using Partial Nasal Bone Division and Reconstruction in Frontoethmoidal Sinus Meningioma

  • Park, Eon Ju (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine) ;
  • Kim, Hong Il (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine) ;
  • Park, Jin Hyung (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine) ;
  • Yi, Hyung Suk (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine)
  • Received : 2017.02.16
  • Accepted : 2017.05.10
  • Published : 2017.06.20
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Abstract

Typical transcranial approaches are insufficient for adequate visualization and resection of skull base tumors. Different approaches with multiple modifications have been attempted. Here, we describe a new approach for a lesion that is central and hard to treat by conventional craniotomy and successful reconstruction with calvarial bone graft and titanium mesh plate. A 69-year-old female patient presented with recurrent meningioma. The tumor had invaded the frontal lobe, right supraorbital rim, and ethmoidal bone. We performed a modified anterior craniofacial approach that fully exposed the tumor and invaded bone. In consideration of the patient's age and cosmetic result, the tumor and invaded bone was resected and the defect area was reconstructed with titanium mesh and calvarial bone graft. At 6 months postoperative the patient had no complications and was satisfied with the esthetic result. We report this case to demonstrate the successful approach and reconstruction using this technique.

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References

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