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Year : 2021  |  Volume : 23  |  Issue : 2  |  Page : 55-59

Frontal sinus cranialization using pericranial flap: Experience in thirty cases

1 Department of Neurosurgery, Al Azhar University, Cairo, Egypt; Department of Neurosurgery, King Fahad Armed Forces Hospital - Southern Region, Khamis Mushait, Saudi Arabia
2 Department of ENT, King Fahad Armed Forces Hospital - Southern Region, Khamis Mushait; Department of ENT, King Fahad Armed Forces Hospital - Jeddah, Jeddah, Saudi Arabia

Correspondence Address:
Dr. Saeed Alsharif
Department of ENT, King Fahad Armed forces Hospital, P.O.Box 9862, Jeddah 21159
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjoh.sjoh_57_20

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Introduction: Cranialization of the frontal sinuses has become a widely accepted treatment choice for the most challenging types of frontal sinus fractures, complicated mucoceles and mucopyoceles, severe frontal sinusitis with osteomyelitis, and others. We conducted a review of thirty cases who underwent cranialization using pericranial flaps. Materials and Methods: A total of thirty cases were reviewed done between January 2015 and June 2019. Results: The most frequent indication in our review was frontal sinus fracture in twenty cases (66.6%), six (20%) cases of frontal sinus mucoceles, and four (13.3%) cases of fontal sinus infection with intracranial extension. Conclusion: The use of a pedicled vascularized pericranial flap as an extra layer and autologous fence above the dura adds more protection to the brain. More prospective and randomized trials are recommended.

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