A Novel Technique for Pedicled Nasoseptal Flap Takedown in Revision Skull Base Surgery
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 کاملReverse rotation flap for reconstruction of donor site after vascular pedicled nasoseptal flap in skull base surgery.
Endonasal skull base surgery is growing exponentially as a subspecialty. In recent years, advances in endoscopic techniques and intraoperative navigation systems have allowed us to expand the indications of endoscopic skull base surgery. Major skull base centers worldwide are addressing larger and more complex lesions using endoscopic techniques. As a consequence, the skull base defects are mor...
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 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...
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ژورنال
عنوان ژورنال: Journal of Neurological Surgery Part B: Skull Base
سال: 2013
ISSN: 2193-6331,2193-634X
DOI: 10.1055/s-0033-1342926