{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,8]],"date-time":"2023-04-08T05:03:06Z","timestamp":1680930186648},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nAnterior skull base fractures represent a unique challenge for neurosurgical repair due to the potential for orbital injury and the proximity to the air sinuses, yielding increased possibility for infection, and persistent cerebrospinal fluid (CSF) leak. While multiple techniques are available for the repair of anterior skull base defects, there exists a paucity of robust, long-term clinical data to guide the optimal surgical management of these fractures.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nWe present the case of a complex, traumatic penetrating anterior skull base fracture, and describe a multi-layered approach for successful repair \u2013 namely, with the use of a temporally-based pericranial flap, split-thickness frontal bone graft, and autogenous abdominal fat graft. The patient was followed for nine months postoperatively, over which time she experienced no significant complications.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThe goal of successful anterior skull base repair involves creating a durable, watertight separation between intra and extracranial compartments to prevent CSF leak, protect intracranial structures, and minimize infection risk. The temporally-based pericranial flap, split-thickness frontal bone graft, and autogenous abdominal fat graft represent safe and efficacious approaches to achieve lasting repair.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_70_2023","type":"journal-article","created":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T07:07:24Z","timestamp":1680851244000},"page":"126","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multi-layer approach to complex traumatic anterior skull base fracture repair: A case report"],"prefix":"10.25259","volume":"14","author":[{"given":"Maya","family":"Alexis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Blue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jang W.","family":"Yoon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,4,7]]},"reference":[{"key":"10.25259\/SNI_70_2023\/ref-1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.4103\/2006-8808.78465","article-title":"Split calvarial bone graft for the reconstruction of skull defects","volume":"3","author":"Agrawal","year":"2011","journal-title":"J Surg Tech Case Rep"},{"key":"10.25259\/SNI_70_2023\/ref-2","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1001\/archotol.1982.00790510014003","article-title":"Frontal sinus ablation by cranialization: Report of 21 cases","volume":"108","author":"Donald","year":"1982","journal-title":"Arch Otolaryngol"},{"key":"10.25259\/SNI_70_2023\/ref-3","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.3889\/oamjms.2018.295","article-title":"Frontal sinus obliteration utilizing autogenous abdominal fat graft","volume":"6","author":"Eledeissi","year":"2018","journal-title":"Open Access Maced J Med Sci"},{"key":"10.25259\/SNI_70_2023\/ref-4","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.inat.2016.01.003","article-title":"Toward a more rationalized use of a special technique for repair of frontal air sinus after cerebral aneurysm surgery: The most effective technique","volume":"4","author":"Sakarunchai","year":"2016","journal-title":"Interdiscip Neurosurg"},{"key":"10.25259\/SNI_70_2023\/ref-5","doi-asserted-by":"crossref","first-page":"419","DOI":"10.3171\/2015.5.JNS15529","article-title":"Surgical anatomy and utility of pedicled vascularized tissue flaps for multilayered repair of skull base defects","volume":"125","author":"Safavi-Abbasi","year":"2016","journal-title":"J Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/multi-layer-approach-to-complex-traumatic-anterior-skull-base-fracture-repair-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/multi-layer-approach-to-complex-traumatic-anterior-skull-base-fracture-repair-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T07:07:29Z","timestamp":1680851249000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/multi-layer-approach-to-complex-traumatic-anterior-skull-base-fracture-repair-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,7]]},"references-count":5,"alternative-id":["10.25259\/SNI_70_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_70_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,4,7]]},"article-number":"126"}}