두개저를 통한 두개안면골 성형술후 생긴 비-전두간 교통의 차단법 = How to Make the Blockage between the Nasal Cavity and Intracranial Space in Craniofacial Surgery

다국어 초록 (Multilingual Abstract)

Craniofacial surgery for facial advancement or correction of severe craniofacial malformations such as orbital hypertelorism, Crouzon's disease and Apert's syndrome may bring about great risk. Especially postoperative infection in the craniofacial surgery is a life threatening complication. Ascending infection via nasofrontal communication in frontofacial monobloc advancement, intracranial Le Fort III osteotomy, correction of hypertelorism(intracranial approach) and acute trauma of cribriform plate can lead to life threatening meningitis and meningoencephalitis. A 4 layer sealing technique for the closure of nasofrontal communication using Gelfoam??, the inferiorly based, galeo-pericranial flap, rib bone graft, Tissel?? is a very effective method. Until the rib bone graft is completely uptaken, Gelfoam?? is used as a temporary blockage of bony defect and prevents displacement of rib bone graft. We used galeo-periosteal flap for the sufficient blood supply to the rib bone graft. And Tissel?? is used as a biologic adhesive and blockage of the surrounding gaps.