METHOD OF PLASTIC REPAIR AND SEALING OF PACHYMENINX DEFECTS IN BONE LOSS AREA IN THE SKULL BASE

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to neurosurgery, and can be used for plastic repair and sealing of a pachymeninx defect in bone loss area in the skull base. Autograft consisting of two cross-linked parts is formed. Autograft is placed in the pachymeninx defect area. Autograft is primarily fixed from the inner pachymeninx surface, from the outer pachymeninx surface and from the sphenoid sinus side. Sealing element, which is used to finally fix the autograft from the outer pachymeninx surface and from the sphenoid sinus side is applied to the autograft. Fixation is carried out by gluing the sealing element to the autograft, as well as to the outer pachymeninx surface, to the skull base and to the inner sphenoid sinus surface by using fibrin-thrombin glue.;EFFECT: method provides simplified sealing of a pachymeninx defect in bone loss area in the skull base, prevention and treatment of basal liquorrhea in case of injuries of central parts of the skull base.;10 cl, 5 dwg, 1 ex