PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of skullbasesurgInstructions for AuthorsSubscribe to Skull BaseAbout Skull BaseEditorial BoardThieme Medical PublishingSkull Base An Interdisciplinary Approach ...
 
Skull base surgery. 2000; 10(1): 29–34.
PMCID: PMC1656745

Harvesting Large Fascia Lata Sheaths

A Rational Approach

Abstract

This article describes an “S”-shaped incision for the open approach of harvesting wide sheets of fascia lata with reference to the important anatomical landmarks. Forty-three patients required dural replacement in cases of tumors, trauma, or cerebrospinal fluid leak involving the anterior skull base. The extended anterior suberanial approach to the skull base was used for all patients. Early functional status of the operated limb in seven of the patients treated first was assessed by physical examination and then by means of the computerized Kinetic Communicator (Kin-Com; Medex Diagnostics, Canada) dynamometer. None of these patients suffered any significant immediate complications and had good results at the preliminary functional assessment. All other patients were evaluated clinically for functional deficits of the operated lower limb to further assess its morbidity. The technique described herein was shown to enhance the case and control of fascia lata harvesting. It affords low complication rate and donor limb morbidity. Donor limb morbidity did not have any deleterious effect on the patients' normal daily activities and only became apparent during strenuous physical activity.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.9M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Thammavaram KV, Benzel EC, Kesterson L. Fascia lata graft as a dural substitute in neurosurgery. South Med J. 1990 Jun;83(6):634–636. [PubMed]
  • Drever JM. A simple method for obtaining fascia lata grafts. Plast Reconstr Surg. 1972 Aug;50(2):196–197. [PubMed]
  • Fliss DM, Zucker G, Cohen A, Amir A, Sagi A, Rosenberg L, Leiberman A, Gatot A, Reichenthal E. Early outcome and complications of the extended subcranial approach to the anterior skull base. Laryngoscope. 1999 Jan;109(1):153–160. [PubMed]
  • Raveh J, Neiger M. Die Wiederherstellung bei schweren Gesichtsschädelverletzungen. SSO Schweiz Monatsschr Zahnheilkd. 1981 Apr;91(4):206–217. [PubMed]
  • Raveh J, Turk JB, Lädrach K, Seiler R, Godoy N, Chen J, Paladino J, Virag M, Leibinger K. Extended anterior subcranial approach for skull base tumors: long-term results. J Neurosurg. 1995 Jun;82(6):1002–1010. [PubMed]
  • Lockwood TE. Superficial fascial system (SFS) of the trunk and extremities: a new concept. Plast Reconstr Surg. 1991 Jun;87(6):1009–1018. [PubMed]
  • WALLACE PB, MEIROWSKY AM. The repair of dural defects by graft. An analysis of 540 penetrating wounds of the brain incurred in the Korean War. Ann Surg. 1960 Feb;151:174–180. [PubMed]
  • Dubiel WT, Wigren A. Functional status of the lower extremity after resection of fascia lata. A clinical and physiological follow-up study in patients with fascia lata heart valve replacement. Acta Orthop Scand. 1974;45(4):599–613. [PubMed]
  • Peacock EE., Jr Subcutaneous extraperitoneal repair of ventral hernias: a biological basis for fascial transplantation. Ann Surg. 1975 May;181(5):722–727. [PubMed]
  • Kohanna FH, Adams PX, Cunningham JN, Jr, Spencer FC. Use of autologous fascia lata as a pericardial substitute following open-heart surgery. J Thorac Cardiovasc Surg. 1977 Jul;74(1):14–19. [PubMed]
  • Dvir Z. [Muscle strength measurement--principles, techniques, application]. Harefuah. 1990 Dec 16;119(12):447–450. [PubMed]

Articles from Skull Base Surgery are provided here courtesy of Thieme Medical Publishers