Use of titanium mesh to reconstruct lateral skull base defects through three different approaches
DOI:
https://doi.org/10.34631/sporl.2199Keywords:
Meningoencephalic hernia, Transmastoid, Middle fossa craniotomy, Titanium mesh, Lateral skull baseAbstract
Aim: Evaluate the treatment of tegmen defects with titanium mesh through three different approaches – middle cranial fossa or transmastoid alone or a combination of both, evaluating and comparing their outcomes.
Material & Methods: Retrospective data collection of patients submitted to surgical correction of middle cranial fossa SB defects with titanium mesh reconstruction plates between 2021 and 2023 in a tertiary hospital.
Results: We included 5 patients with meningoencephalocele, mean age 54 years (range 15-81 years). A combined transmastoid and middle fossa craniotomy approach was used in three cases. There were no post-operative complications. During the follow-up period, none of the titanium plates were rejected or became infected.
Conclusions: Our case series suggests that titanium mesh is safe and effective for reconstruction of large tegmen defects, with optimal closure rates. Although the combined approach provided better exposure, all the approaches resulted in reduced morbidity in the surgical treatment of these patients
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