An eyebrow skin approach for traumatic fractures of anterior skull base

Abstract

Objective The purpose of the study is to evaluate surgical principle of the eyebrow approach for repair and reconstruction of traumatic anterior skull base defect accompanied with brain herniation. Methods A patient with traumatic anterior skull base defect was retrospectively analyzed, By using an eyebrow approach, dissected orbital subperiosteally, the defect of the skull base was exposed and the skull fracture fragments was cleared. The titanium mesh was shaped to fix the skull base defect. The titanium mesh was screwed the on the supraorbital after the dural sutured. Finally, operation wound was sutured in layers. Results The operation was successful and the patient recovered. After two-year follow-up, the patient has normal eye protrusion and brain function. Conclusion The eyebrow approach is safe and feasible for reconstruction of skull base defect. Key words: Anterior skull base defect; Reconstruction; Orbital fracture