Use of free composite graft for a large defect in the anterior skull base

Cansiz H., Cambaz B., Papila I. , Tahami R., Gunes M.

JOURNAL OF CRANIOFACIAL SURGERY, vol.9, no.1, pp.76-78, 1998 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 9 Issue: 1
  • Publication Date: 1998
  • Doi Number: 10.1097/00001665-199801000-00016
  • Page Numbers: pp.76-78


Until recently, most skull base turners, particularly those extending into the orbit or anterior or middle cranial fossa base, were excised incompletely because of the technical difficulty in performing en bloc resections. However, improved craniofacial surgical techniques, recent developments in technology and equipment improved imaging techniques, interdisciplinary collaboration, and improved anesthetic techniques have enabled a wide range of attempts resulting in successful clinical outcome, We present a case of recurrent meningioma with intracranial and extracranial extension in which three previous operations left a large craniectomy defect in the frontal area as well as a frontal lobe defect. After removal of the tumor, we reconstructed the large defect using composite graft (free bone and fascia lata).