The Reconstruction of Skull Base—Healing and Pitfall and Pearls During Reconstruction of Skull Base

This article discusses the histological and biomechanical quality of dura mater on the skull base and the quality of different parts of the skull base and lamina cribrosa. Furthermore, the author proceeds to study the healing of the dura mater, including the skull base bone. The healing of the skull base is affected by various factors: anatomical–embryonal, biomechanical, biophysical, chemical, and biological. The aim of this study is to determine the dural quality of the skull base area with particular attention to the anterior skull base fossa, which is connected to paranasal spaces, and the lamina cribrosa, which is the most sensitive area.

The author reported different types of reconstructions and different materials of reconstructions based on 32 years of experience with these problems.

The author studied this problem under the following factors: anatomical–embryonal, biomechanical, biophysical, chemical, and biological speculating over individual influences on the healing of the skull base on the basis of personal experiences of 32 years with reconstructions of the skull base after trauma and other skull base surgeries. He anatomizes those factors on the basis of anatomical-embryonal, biomechanical, biophysical, and biological studies too.

In this study, the author also mentioned the advances in biomechanical and biophysical quality of collagen and the influences on healing (e.g., piezoelectric, piezomagnetic effect).

The author recommended to refer to pitfalls and pearls of experienced surgeons during surgical reconstructions of the skull base, which will help improve the healing of the skull base. He recommended some methods from biomechanical and physiological studies.

 

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No conflict of interest has been declared by the author(s).

Publication History

Article published online:
07 February 2025