One-piece bifrontal basal craniotomy with pericranial flap for frontal sinus management: How I Do It.

Eiji Ito, Ryotaro Sugita, Mao Yokota, Tadashi Watanabe

Abstract read

In one paragraph

Article in Acta neurochirurgica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Eiji ItoSkull Base Surgical Center, Aichi Medical University Hospital, 1 - 1 Yazakokarimata, Nagakute, Aichi, 480 - 1195, Japan. eito540918@gmail.com.ORCID 0009-0000-9338-205X

Ryotaro SugitaDepartment of Neurosurgery, Gifu Prefectural Tajimi Hospital, Tajimi, Japan.

Mao YokotaDepartment of Neurosurgery, Aichi Medical University, Nagakute, Japan.ORCID 0009-0003-2784-342X

Tadashi WatanabeDepartment of Neurosurgery, Aichi Medical University, Nagakute, Japan.ORCID 0000-0003-0185-3278

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnterior skull base surgery poses challenges including cerebrospinal fluid (CSF) leakage and cosmetic concerns. A novel one-piece bifrontal basal craniotomy using a pericranial flap was developed to improve outcomes.

methodThe technique included precise burr hole placement, dura-protective craniotomy, and frontal sinus sealing using a pericranial flap. Reconstruction was stabilized using miniplates and screws, leaving the epidural dead space unfilled and lowering infection risks.

conclusionThis method reduces CSF leakage, enhances reconstruction durability, and preserves cosmetic and functional outcomes, offering a reliable approach for anterior skull base surgery.

Indexed as

CraniotomyFrontal SinusPlastic Surgery ProceduresSkull BaseSurgical FlapsCerebrospinal Fluid LeakHumansMaleAnterior skull base surgeryCerebrospinal fluid leakageFrontal sinus reconstructionOne-piece craniotomyPericranial flap

Identifiers

PMID40244298

DOI10.1007/s00701-025-06528-1

PMCPMC12006261

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