The temporoparietal fascial flap (TPFF) is a vascularized pedicle flap commonly used in head and neck reconstructions.
The authors describe the use of a TPFF in repairing a large traumatic middle cranial fossa CSF fistula via a middle cranial fossa approach.
During the 18-month follow-up, the patient had no further CSF leakage or meningitis.
The use of a TPFF for the repair of a traumatic CSF fistula has not been described in the literature.
The authors recommend the use of a TPFF in treating recurrent or large middle cranial fossa CSF fistulas.
The flap provides a well-vascularized thin layer that can be ideal in middle cranial fossa repair, and its proximity to the operation site is perfect as well.
2009-08-03

Eng.
Journal of Neurosurgery
Sheffield Skull Base Group, Department of Neurosurgery, Sheffield University Hospitals, Sheffield, United Kingdom. mtaha66 [at] hotmail.com
J Neurosurg. 2009 Aug;111(2):393-5
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