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KMID : 1037420130080020026
Journal of Korean Skull Base Society
2013 Volume.8 No. 2 p.26 ~ p.30
The treatment of CSF leakage using temporalis muscle flap : Case reports
Kim Chae-Min

Yun In-Sik
Lee Won-Jae
Kim Yong-Oock
Lew Dae-Hyun
Abstract
Cranial defect can occur after trauma or tumor resection, subsequently leading to CSF leakage. When there is CSF leakage with a subtle dural tear or small defect, it can be managed by observation or endoscopic treatment. However, if the defect is large, it should be reconstructed by a regional flap or free flap. Temporalis muscle flap is favorable for reconstruction of a large defect due to its sufficient volume and reliable blood suply.?In addition, by using the reverse temporalis muscle, extension to the anterior cranial base is possible, which is useful for CSF leakage due to cranial defect. We report a case using temporalis muscle flap and a case?using reverse temporalis muscle flap with a review of literature.
KEYWORD
CSF leakage, Temporalis muscle flap, reverse temporalis muscle flap
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