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Skull Base Reconstruction

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Contemporary Skull Base Surgery

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Abstract

Skull base reconstruction requires a comprehensive approach to achieve adequate closure and prevent CSF leakage. Nearly always, a multilayered approach utilizing a combination of autograft and allograft is implemented. There may be multiple skull base approaches for a given pathology, and the reconstruction options are a major factor in this selection. Function preservation must be considered, avoiding destructive techniques when possible. Although reconstruction options vary based on surgical approach, common concepts include collagen inlay, fat graft placement, rigid (permanent or removable) buttress, and early mobilization. Implementation of ERAS principles is helpful to maximize chances of positive outcomes.

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  1. Pacific Brain Tumor Center, Pacific Neuroscience Institute, Santa Monica, CA, USA

    Garni Barkhoudarian, Michael B. Avery & Daniel F. Kelly

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  1. Garni Barkhoudarian
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  2. Michael B. Avery
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  1. Department of Neurological Surgery, University of Colorado School of Medicine, Aurora, CO, USA

    A. Samy Youssef

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Barkhoudarian, G., Avery, M.B., Kelly, D.F. (2022). Skull Base Reconstruction. In: Youssef, A.S. (eds) Contemporary Skull Base Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-99321-4_10

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