Successful treatment of pneumocephalus using a free-style chimeric free flap from a scarred thigh

Giuseppe Visconti, Domenico Pagliara, Alessandro Bianchi, Giuseppe La Rocca, Alessandro Olivi, Marzia Salgarello

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Pneumocephalus is an air collection in cranial cavity caused by accidental exposition of intracranial compartment after trauma or surgery. Skull base reconstruction with free flap is a useful surgical tool to avoid cerebral herniation or intracranial infection. The authors describe a patient of pneumocephalus following anterior skull base meningioma resection, unsuccessfully treated with 2 attempts of fascia lata grafts harvested from both thighs. A free-style chimeric anterolateral thigh free flap was performed using middle third of rectus femoris muscle to fill the planum spheno-ethmoidalis defect and adipocutaneous paddle for postoperative monitoring and for favoring a tension free skin closure. Free-style dissection with limited undermining in the previously scarred thigh was performed to avoid donor-site complication. Postoperative course was uneventful with complete resolution of the pneumocephalus.

Original languageEnglish (US)
Pages (from-to)e658-e660
JournalJournal of Craniofacial Surgery
Issue number7
StatePublished - 2018
Externally publishedYes


  • Anterior skull base
  • Chimera-free flap
  • Microsurgery
  • Skull base reconstruction

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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