Surgical Repair of Iatrogenic Transverse-Sigmoid Sinus Laceration with a Dural Flap During Skull Base Tumor Surgery: A Technical Case Report
| Autor: | Andrew Wong, Hussam Abou-Al-Shaar, Fady T. Charbel, Ashley L Barks, Gerald Oh, Gregory D. Arnone |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Iatrogenic Disease Cranial Sinuses Lacerations Skull Base Neoplasms Neurosurgical Procedures Surgical Flaps Meningioma 03 medical and health sciences 0302 clinical medicine Meningeal Neoplasms otorhinolaryngologic diseases medicine Humans 030223 otorhinolaryngology Craniotomy Sinus (anatomy) Surgical repair Sigmoid sinus Transverse Sinuses business.industry Ethmoidectomy medicine.disease Surgery medicine.anatomical_structure Female Neurology (clinical) Neurosurgery Complication business 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 106:1050.e7-1050.e10 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2017.06.100 |
| Popis: | Background Injury to cerebral venous sinuses during craniotomy procedures can cause significant blood loss or venous air embolism, potentially leading to serious morbidity or mortality. When iatrogenic sinus injuries occur, it is essential to promptly obtain hemostasis and repair the sinus defect. Case Description We report on a 43-year-old woman that sustained a transverse-sigmoid sinus injury during a retrosigmoid craniotomy for resection of a cerebellopontine angle meningioma. Sinus repair was performed using a reflected dural flap with excellent outcome. Conclusions The use of a reflected dural flap for closure of a widely torn sinus proved to be an effective and straightforward sinus repair strategy, with postoperative imaging demonstrating persistent patency of the sinus. The described technique may be a useful addition to any neurosurgeon's armamentarium and should be considered during cases of complex sinus injuries. |
| Databáze: | OpenAIRE |
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