We describe a surgical technique in which the middle fossa craniotomy ordinarily used for facial nerve decompression and related surgery is extended superiorly to allow the harvest of a split-thickness calvarial graft. This graft allows the tegmen defect in middle fossa surgery to be repaired without shortening the original craniotomy plate. Avoiding the usual temporoparietal depression after middle cranial fossa surgery is both a structural and cosmetic benefit for the patient.
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References
1.
HouseWF. Acoustic neuroma surgery through the middle fossa. Laryngoscope1961;71:1363–5.
2.
FischUMattoxDE. Microsurgery of the skull base. New York: Thieme Medical Publishers, 1988: 436–42.
3.
IllankovanVJacksonIT. Experience in the use of calvarial bone grafts in orbital reconstruction. Br J Oral Maxillofac Surg1992;30:92–6.
4.
PsillakisJMNocchiVLZaniniSA. Repair of large defect of frontal bone with free graft of outer table of parietal bones. Plast Reconstr Surg1979;64:827–30.
5.
TessierP. Autogenous bone grafts taken from the calvarium for facial and cranial applications. Clin Plast Surg1982; 9: 531–8.
6.
WolfeSA. Autogenous bone grafts versus alloplastic material in maxillofacial surgery. Clin Plast Surg1982;9:539–40.
7.
JacksonITHeldenGMarxR. Skull bone grafts in maxillofacial and craniofacial surgery. J Oral Maxillofac Surg1986;44:949–55.
PowellNBRileyRW. Cranial bone grafting in facial aesthetic and reconstructive contouring. Arch Otolaryngol Head Neck Surg1987;113:713–9.
10.
HunterDBakerSSobolSM. Split calvarial grafts in maxillofacial reconstruction. OTOLARYNGOL HEAD NECK SURG1990;102:345–50.
11.
SchmitzJPHollingerJO. A preliminary study of the osteogenic potential of a biodegradable alloplastic-osteoinductive alloimplant. Clin Orthop1988;237:245–55.
12.
SolheimEPinholtEMBangGSudmannE. Regeneration of calvarial defects by a composite of bioerodible polyorthoester and demineralized bone in rats. J Neurosurg1992;76:275–9.
