%0 Journal Article
%T Free temporalis muscle fascia graft in dural reconstruction following surgical resection of intermediate and malignant skull base tumors: A 10-year experience from a single center.
%A Jurlina M
%A Mamic M
%A Pupic-Bakrac J
%A Matoc L
%A Jednacak H
%A Luksic I
%A Zizic M
%J Head Neck
%V 46
%N 6
%D 2024 Jun 8
%M 38587969
%F 3.821
%R 10.1002/hed.27768
%X <B>BACKGROUND: </B>Data from patients with post-ablative dural defects reconstructed using a free temporalis muscle fascia graft (FTFG) after resection of anterior or central skull base tumors were retrospectively analyzed.<BR><B>METHODS: </B>The primary predictor and outcome variables were the reconstructive methods for dural repair and postoperative cerebrospinal fluid (CSF) leakage rate, respectively.<BR><B>RESULTS: </B>Eighty patients were included, and 94 postoperative dural reconstructions were performed using FTFG. The postoperative CSF leakage rate was 3.19%. The postoperative CSF leakage rates did not significantly differ between open and endonasal endoscopic surgeries (1.92% vs. 4.88%; p > 0.05). In cases completed using the endonasal endoscopic approach, the postoperative CSF leakage rate was significantly associated with the intraoperative CSF leak flow (p < 0.05).<BR><B>CONCLUSIONS: </B>Post-ablative dural defect reconstruction using FTFG resulted in low postoperative CSF leakage and complication rates comparable to those of free fascia lata graft from available literature.