Frontal Sinus Repair Using Polymethyl Methacrylate After Bifrontal Craniotomy.

Frontal Sinus Repair Using Polymethyl Methacrylate After Bifrontal Craniotomy.

World Neurosurg. 2018 Dec 27;:

Authors: Matsuura J, Otsuka T, Nakagawa T, Kai K

Abstract
BACKGROUND: In many cases where bifrontal craniotomy is performed, the frontal sinus is opened and postoperative complications occur. Various methods to close the frontal sinus have been reported. However, all these methods require skills to perform and take time. This study was conducted to report the good results obtained with the closure of the frontal sinus using polymethyl methacrylate, which is a simpler method.
METHOD: From December 2008 to June 2018, 122 patients with ruptured anterior communicating aneurysm were transported to a facility, 52 of whom consecutively underwent bifrontal craniotomy with opening of the frontal sinuses that were filled with polymethyl methacrylate.
RESULTS: The mean follow-up period was 21.8 months. The longest term was 116 months. Complications and cerebrospinal fluid leak were not observed in any case.
CONCLUSION: The method of filling the frontal sinus with PMMA reported in this study is safe and has no complications. Therefore, it needs to be considered as a method of frontal sinus closure.

PMID: 30593968 [PubMed - as supplied by publisher]

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