Reducing CSF complications by a recycled Hadad’s flap combined with autologous mucosa in secondary endoscope transsphenoidal surgery

Background Transsphenoidal secondary operations are a minority but not rare occurrence. How to viably prevent cerebral fluid (CSF)-related complications and confine surgery-caused injury in surgery as minimally possible is huge challenge. This article shares our solution of recycling prior Hadad-Bassagasteguy flap (HBF) along with using small piece free autologous mucosa reconstruct the skull base. Methods Of 69 patients, fitted criteria were assigned into 2 different groups: recycled HBF incorporated an artificial dura rebuild base transsphenoidal surgery. The postoperative morbidities pseudomeningocele, CSF leakage meningitis recorded analyzed. Results A capable reducing compared that matched group, particularly decreasing morbidity Diabetes mellitus, craniopharyngioma, chordoma utilization independent risk factors for through univariate multivariate logistic regression. In addition, diabetes mellitus more likely induce meningitis. Patients suffering from craniopharyngioma susceptible Chordoma indiscriminately increased each complication. Conclusion reliable reconstructing surgery, especially patients simultaneously central tumors.