The 4 F (Fat, Fascia, Fibrin, and Fat) Technique for Skull Base Reconstruction in Endoscopic Transorbital Surgery
This preliminary experience suggests that the 4F reconstruction technique may be a feasible option for managing osteodural defects during SETOA. It accomplishes the goals of skull base reconstruction, to achieve a watertight closure and avoid dead space. However, given the limited sample size and lack of a control group, definitive conclusions cannot be drawn. Further studies with larger cohorts, standardized outcome measures, and comparative methods are required to assess its final clinical utility.
Authors
- Giuseppe Corazzelli (ORCID: https://orcid.org/0000-0002-8536-6962)
- Francesco Corrivetti (ORCID: https://orcid.org/0000-0002-1023-958X)
- Sergio Corvino (ORCID: https://orcid.org/0000-0003-4918-6857)
- Domenico Di Maria (ORCID: https://orcid.org/0000-0001-6344-6315)
- Iacopo Dallan (ORCID: https://orcid.org/0000-0003-1303-857X)
- Matteo de Notaris (ORCID: https://orcid.org/0000-0002-4008-9092)
- Antonio Colamaria (ORCID: https://orcid.org/0000-0003-0912-8484)
- Giuseppe Catapano (ORCID: https://orcid.org/0000-0001-6340-1985)
- Giorgio İaconetta (ORCID: https://orcid.org/0000-0001-6924-3551)
- Germano Di Matteo
- Edisher Maghalashvili
Institutions
- Santa Maria Nuova Hospital (IT)
- Ospedali Riuniti di Foggia (IT)
- Azienda Ospedaliera G.Rummo (IT)
- Ospedale Santa Maria (IT)
- European Biomedical Research Institute of Salerno (IT)
- Ospedali Riuniti San Giovanni di Dio e Ruggi d'Aragona (IT)
- Georgian American University (GE)
- Ospedale D. Cotugno (IT)
- Azienda Ospedaliera Universitaria Pisana (IT)
- University of Naples Federico II (IT)
Publication Details
- Journal
- Acta Neurochirurgica
- Published
- 2025-09-29
- DOI
- https://doi.org/10.1007/s00701-025-06667-5
- Citations
- 1
- Primary Topic
- Head and Neck Surgical Oncology
- Type
- article
- Field-Weighted Citation Impact
- 2.01
Funders
- Università degli Studi di Salerno