ArticleFrontiers in surgery2026
Precision dissection strategy for myocutaneous flap in frontotemporal cranioplasty based on tissue biophysical properties.
Article in Frontiers in surgery, 2026. 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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Abstract
Background: Safely and efficiently separating myocutaneous flaps that are densely adherent to the dura mater remains a critical challenge in cranioplasty. Traditional dissection methods and prophylactic implantation of anti-adhesion materials both have limitations. This study aims to propose and validate a "Tissue Biophysics-Based Myocutaneous Flap Dissection Strategy." By systematically analyzing the biophysical properties of different tissue interfaces and dynamically matching the optimal dissection instruments and techniques, we seek to optimize surgical outcomes. Methods: We retrospectively analyzed the clinical data of 124 patients who underwent frontotemporal cranioplasty at our institution between January 2020 and September 2025. Patients were divided into a new strategy group ( Results: The new strategy group demonstrated significantly lower intraoperative blood loss (128.18 ± 45.32 mL vs. 276.81 ± 68.54 mL, Conclusion: The proposed "Tissue Biophysics-Based Myocutaneous Flap Dissection Strategy" integrates tissue biophysical principles (e.g., interfacial compliance, electrical impedance differences) into surgical decision-making, aiming to provide a practical surgical strategy. This surgical strategy appears to enhance the safety and efficiency of cranioplasty while reducing the risk of key complications in this patient cohort.
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