Craniofacial resection: Decreased complication rate with a modified subcranial approach

Donald (Don) Ross, Lawrence J. Marentette, Charles E. Moore, Kristin L. Switz

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

The authors have successfully utilized a modified subcranial approach to the anterior skull base, based upon the procedure first described by Joram Raveh, as an alternative to standard craniofacial resection. The complication rate of this procedure in 31 consecutive cases (28 tumors, 2 congenital malformations, and 1 mucocele) has been 19.4% with no permanent complications, no deaths, no new neurological deficits, no brain injuries, no infections, and no seizures. Minor complications without permanent sequelae included two cases of tension pneumocephalus, a subdural hygroma, two transient cerebrospinal fluid leaks, and a case of bacterial meningitis secondary to fecal contamination of a lumbar drain in a child. Average length of hospitalization was 7.1 days (range 2 to 16 days). The overall complication rate is considerably below the complication rate for other reported craniofacial procedures. We describe the technique we have used and the results. The subcranial approach as described herein provides wide exposure of the anterior cranial base without brain retraction, does not require prolonged operating times or hospitalization, and has a potentially lower complication rate than reported for other transfrontal transbasal approaches.

Original languageEnglish (US)
Pages (from-to)95-100
Number of pages6
JournalSkull Base Surgery
Volume9
Issue number2
StatePublished - 1999
Externally publishedYes

Fingerprint

Skull Base
Hospitalization
Subdural Effusion
Pneumocephalus
Mucocele
Bacterial Meningitides
Brain Injuries
Seizures
Brain
Infection
Neoplasms
Cerebrospinal Fluid Leak

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Craniofacial resection : Decreased complication rate with a modified subcranial approach. / Ross, Donald (Don); Marentette, Lawrence J.; Moore, Charles E.; Switz, Kristin L.

In: Skull Base Surgery, Vol. 9, No. 2, 1999, p. 95-100.

Research output: Contribution to journalArticle

Ross, DD, Marentette, LJ, Moore, CE & Switz, KL 1999, 'Craniofacial resection: Decreased complication rate with a modified subcranial approach', Skull Base Surgery, vol. 9, no. 2, pp. 95-100.
Ross, Donald (Don) ; Marentette, Lawrence J. ; Moore, Charles E. ; Switz, Kristin L. / Craniofacial resection : Decreased complication rate with a modified subcranial approach. In: Skull Base Surgery. 1999 ; Vol. 9, No. 2. pp. 95-100.
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