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KMID : 0903220090100020097
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Journal of the Korean Cleft Palate-Craniofacial Association
2009 Volume.10 No. 2 p.97 ~ p.102
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Usefulness of Bipedicle Temporalis-pericranial Flap for Closure of Frontoethmoidal Encephalomeningoceles
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Yun Byung-Min
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Abstract
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Purpose: To close anterior cranial base, various types of pedicle flaps have been developed previously. However, the results of those pedicle flaps were not constant. To solve such problem, the author designed bipedicle temporalispericranial (BTP) flap based on various types of existing flaps and this study intends to introduce this flap and present clinical application case.
Methods: The pedicle of the proposed temporalispericranial flap is temporalis muscle. The point of this BTP flap is that because of both sides of the unilateral temporalispericranial flap are connected by midline pericranial tissue connected with dense vascular network communicate one another locally, that BTP flap can be safely elevated. The case is a 14 months old male patient of frontoethmoidal encephalomeningocele. Surgery was done in a way that after elevating BTP flap and removing encephalomeningocele, BTP flap was moved intracranially, and to prevent cerebrospinal fluid leakage, anterior cranial base was closed.
Results: During 1 year and 6 month outpatient tracking observation, no particular finding like CSF leakage, meningitis or hydrocephalus was observed.
Conclusion: The benchmarked BTP flap, effective in the treatment of frontoethmoidal encephalomeningocele, is one of the methods to close intracranium and extracranium.
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KEYWORD
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Bipedicle, Temporalis-pericranial Flap, Encephalomeningoceles
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