P.036 Securing the nasoseptal flap in endoscopic transsphenoidal surgery: no Foley catheter needed!
نویسندگان
چکیده
منابع مشابه
The posterior nasoseptal flap: A novel technique for closure after endoscopic transsphenoidal resection of pituitary adenomas
Background While effective for the repair of large skull base defects, the Hadad-Bassagasteguy nasoseptal flap increases operative time and can result in a several-week period of postoperative crusting during re-mucosalization of the denuded nasal septum. Endoscopic transsphenoidal surgery for pituitary adenoma resection is generally not associated with large dural defects and high-flow cerebro...
متن کامل[Endoscopic transsphenoidal pituitary surgery].
Endoscopic surgery has been performed in our Department since 1996 as assistance in micro-neurosurgical procedures. In the same way the endoscope was used in transsphenoidal pituitary surgery, but from the beginning of 2004 we started with "pure" endoscopic surgery. We present our experience with the first ninety patients to demonstrate our way of operating. Endoscopic pituitary surgery is perf...
متن کاملNasoseptal "rescue" flap: a novel modification of the nasoseptal flap technique for pituitary surgery.
OBJECTIVES The introduction of the pedicled nasoseptal flap (NSF) has decreased postoperative cerebrospinal fluid (CSF) leak rates from >20% to <5% during expanded endoscopic skull base surgery. The NSF must be raised at the beginning of the operation to protect the posterior pedicle during the expanded sphenoidotomy. However, in most pituitary tumor cases, an intraoperative CSF leak is not exp...
متن کاملTranssphenoidal approach with nasoseptal flap pedicle transposition: modified rescue flap technique.
INTRODUCTION The adoption of vascular pedicled flaps to reconstruct skull base defects following endoscopic endonasal skull base surgery is a significant milestone in the development of endoscopic endonasal approaches (EEAs). In 2006, Hadad and Bassagaisteguy introduced the pedicled nasoseptal flap (NSF). The NSF decreased initial postoperative cerebrospinal fluid (CSF) leak rates from >20% to ...
متن کاملManagement of Pituitary Adenomas: Mononostril Endoscopic Transsphenoidal Surgery
Introduction: The endoscopic transsphenoidal approach for pituitary adenomas and other sellar lesions is quickly becoming the procedure of choice in their surgical management. The most common approach is binostril three-hand technique which requires a large exposure and subjects both nasal cavities to potential trauma. To reduce nasal morbidity, we employ a mononostril two-hand technique with t...
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ژورنال
عنوان ژورنال: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques
سال: 2018
ISSN: 0317-1671,2057-0155
DOI: 10.1017/cjn.2018.138