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A correlation of the surgical anatomy of the dura to head and neck surgery

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Summary

Head and neck surgery may be complicated by penetration of the dura resulting in meningitis, cerebrospinal rhinorrhoea, cerebral abscess or other intracranial complications. The strength of the dura mater both protects the brain and spinal cord and makes dura an ideal material for grafting (when needed). This study examines the thickness and histological composition of dura mater at various sites encountered in head and neck surgery. Dura was removed from eight specified locations in 14 adult cadavers. Microscopically, this dura was found to consist predominantly of collagen fibres, although the thickness of the dura varied between sites. Dura was significantly thinner in relation to the ethmoid sinus (P<0.01), tegmen (P<0.05) and sigmoid sinus (P<0.001), indicating its greater susceptibility to possible injury at these sites during surgery. The variety of its thickness also makes dura a more versatile homograft material than hitherto realised.

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References

  1. Armitage P (1971) Statistical methods in medical research. Blackwell, Oxford, pp 217–223

    Google Scholar 

  2. Last RJ (1978) Anatomy, regional and applied. Churchill Livingstone, Edinburgh London New York, pp 480–483

    Google Scholar 

  3. Murzin VE, Goryunov VN (1979) Study of the strength of adherence of the dura mater to the bones of the skull. Zh Vopr Neirohir 4:43–47

    Google Scholar 

  4. Nakiri K, Jacobs G, Pennza P, Kiraty R, Nose Y (1975) Dura mater valves for cardiac prostheses. Trans Am Soc Artif Intern Organs 21:573–580

    Google Scholar 

  5. Sabatini DD, Bensch K, Barnett RJ (1963) The preservation of cellular ultrastructure and enzymatic activity by aldehyde fixation. J Cell Biol 17:19–58

    Google Scholar 

  6. Zhivoderov NN, Zavalishin NN, Neniukov AK (1983) Mechanical properties of dura mater of the human brain. Sud Med Ekspeirt 26:36–37

    Google Scholar 

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Authors and Affiliations

  1. Department of Oto-Rhino-Laryngology, University of Liverpool, Royal Liverpool Hospital, Prescot Street, L69 3BX, Liverpool, England

    D. J. Willatt & M. W. Yung

  2. Department of Pathology, University of Liverpool, Royal Liverpool Hospital, Prescot Street, L69 3BX, Liverpool, England

    T. R. Helliwell

Authors
  1. D. J. Willatt
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  2. M. W. Yung
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  3. T. R. Helliwell
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Willatt, D.J., Yung, M.W. & Helliwell, T.R. A correlation of the surgical anatomy of the dura to head and neck surgery. Arch Otorhinolaryngol 243, 403–406 (1987). https://doi.org/10.1007/BF00464652

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  • DOI: https://doi.org/10.1007/BF00464652

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