Pyogenic Ventriculitis After Anterior Skull Base Surgery Treated With Endoscopic Ventricular Irrigation And Reconstruction Using a Vascularized Flap

Autor: Tomita, Yusuke, Shimazu, Yosuke, Kawakami, Masato, Matsumoto, Hiroshi, Fujii, Kentaro, Kameda, Masahiro, Yasuhara, Takao, Suruga, Yasuki, Ota, Tomoyuki, Kimata, Yoshihiro, Kurozumi, Kazuhiko, Date, Isao
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Acta Medica Okayama. 75(2):243-248
ISSN: 0386-300X
Popis: Ventriculitis is a rare, serious complication of neurosurgery. A 59-year-old man who had undergone a craniotomy for a paranasal adenocarcinoma, developed a right frontal cystic lesion. We performed a bifrontal craniotomy to remove the lesion. The dura was repaired with non-vascularized free fascia lata in watertight fashion. Ventriculitis occurred 3 days postoperatively. Ventricular drainage, craniectomy, and endoscopic irrigation were undertaken to remove an abscess. The dura and the resection cavity were reconstructed using a vascularized anterolateral thigh adipofascial flap. His symptoms disappeared, indicating that endoscopic irrigation and reconstruction can effectively address ventriculitis even in patients in critical clinical condition.
Databáze: OpenAIRE