Titanium Plate as Reconstructive Adjunct for Large Anterior Cranial Base Defect

Abstract

Background: Extensive resection of tumors involving the anterior skull base warrants complex reconstruction. In cases with extensive destruction of the posterior frontal table, reconstruction can be particularly challenging. The reach of the pedicled nasoseptal flaps is often limited at this location. In addition, underlay grafts can be dislodged due to the physiologic pulsations of the brain. We present a brief technical report utilizing titanium plating for successful salvage of a failed layered reconstruction.