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Collagen matrix as an inlay in endoscopic skull base reconstruction

  • G M Oakley (a1) (a2), J M Christensen (a2), M Winder (a2) (a3), B P Jonker (a2) (a3), A Davidson (a4), T Steel (a3), C Teo (a5) and R J Harvey (a2) (a4)...
Abstract
Background:

Multi-layer reconstruction has become standard in endoscopic skull base surgery. The inlay component used can vary among autografts, allografts, xenografts and synthetics, primarily based on surgeon preference. The short- and long-term outcomes of collagen matrix in skull base reconstruction are described.

Methods:

A case series of patients who underwent endoscopic skull base reconstruction with collagen matrix inlay were assessed. Immediate peri-operative outcomes (cerebrospinal fluid leak, meningitis, ventriculitis, intracranial bleeding, epistaxis, seizures) and delayed complications (delayed healing, meningoencephalocele, prolapse of reconstruction, delayed cerebrospinal fluid leak, ascending meningitis) were examined.

Results:

Of 120 patients (51.0 ± 17.5 years, 41.7 per cent female), peri-operative complications totalled 12.7 per cent (cerebrospinal fluid leak, 3.3 per cent; meningitis, 3.3 per cent; other intracranial infections, 2.5 per cent; intracranial bleeding, 1.7 per cent; epistaxis, 1.7 per cent; and seizures, 0 per cent). Delayed complications did not occur in any patients.

Conclusion:

Collagen matrix is an effective inlay material. It provides robust long-term separation between sinus and cranial cavities, and avoids donor site morbidity, but carries additional cost.

Copyright
Corresponding author
Address for correspondence: Dr Gretchen M Oakley, 2233 Post St, 3rd Floor, Box 1225, San Francisco, CA 94117, USA Fax: +1 415 885 7546 E-mail: gmoakley@gmail.com
Footnotes
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Presented as a poster at the Australian Society of Otolaryngology Head and Neck Surgery Annual Scientific Meeting, 6–8 March 2016, Melbourne, Victoria, Australia.

Footnotes
References
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  • EISSN: 1748-5460
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