Multilayer reconstruction of the middle cranial fossa floor.

Alternative methods of multilayer reconstruction for cranial basal defects are discussed in this report. The reconstruction procedure employs usage of multiple layers of vascularised pedicle flaps which are placed over one another. The extensive vascular supply to the temporalis muscle and its fascial coverings was exploited in fashioning the flaps. The procedure not only provided a compact sealing of the defect, but by virtue of its volume helped in reducing the dead space. The technical issues concerning the harvesting of the flaps and their indications are discussed in this report.