Random nasoseptal flap for revision skull base reconstruction
نویسندگان
چکیده
منابع مشابه
Endoscopic pedicled nasoseptal flap reconstruction for pediatric skull base defects.
OBJECTIVES/HYPOTHESIS A prospective study of endoscopic expanded endonasal approaches (EEA) with nasoseptal flap reconstructions revealed anecdotal evidence of less available relative septal length in pediatric patients. Our goal is to use radioanatomic analysis of computed tomography (CT) scans to determine limitations of the nasoseptal flap in pediatric skull base reconstruction and to descri...
متن کاملNasoseptal flap takedown and reuse in revision endoscopic skull base reconstruction.
OBJECTIVES/HYPOTHESIS To provide a description of the techniques and limitations of nasoseptal flap takedown and reuse during second-stage and revision endoscopic skull base surgery and review the institutional experience with the use of this reconstructive technique. STUDY DESIGN : Case series. METHODS A retrospective analysis of cerebrospinal fluid (CSF) leak outcomes was performed for a ...
متن کاملPedicled Nasoseptal Flap as Final Layer of Reconstruction for Skull Base Defects
Purpose: Assessment of the efficacy of nasoseptal vascularized flap (NSF) in reconstructing the skull base defects after transsphenoidal procedures and CSF rhinorrhea. Material and Methods: Thirteen patients with intraoperative diagnosis of skull base defects and/or CSF leak after endoscopic transsphenoidal surgery or preoperative diagnosis of CSF rrhinorhea were included in this study. Multila...
متن کاملAssessment of mucocele formation after endoscopic nasoseptal flap reconstruction of skull base defects
Advances in endoscopic skull base (SB) surgery have led to the resection of increasingly larger cranial base lesions, resulting in large SB defects. These defects have initially led to increased postoperative cerebrospinal fluid (CSF) leaks. The development of the vascularized pedicled nasoseptal flap (PNSF) has successfully reduced postoperative CSF leaks. Mucocele formation, however, has been...
متن کاملBeyond the nasoseptal flap: outcomes and pearls with secondary flaps in endoscopic endonasal skull base reconstruction.
OBJECTIVES/HYPOTHESIS Endoscopic endonasal skull base surgery defects require effective reconstruction. Although the nasoseptal flap (NSF) has become our institution's workhorse for large skull base defects with cerebrospinal fluid (CSF) leaks, situations where it is unavailable require secondary flaps. Clinical outcomes, pearls and pitfalls, and an algorithm will be presented for these seconda...
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ژورنال
عنوان ژورنال: Journal of Clinical Neuroscience
سال: 2019
ISSN: 0967-5868
DOI: 10.1016/j.jocn.2018.10.038