Vascular pedicled flaps for skull base defect reconstruction
| Autor: | Wade R. Gutierrez, Jarrett E. Walsh, Scott Owen, Douglas M. Bennion |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Defect repair
medicine.medical_specialty business.industry Defect reconstruction Endoscopic surgery Review General Medicine Pedicled Flap Facial Plastics and Reconstructive Surgery surgical outcomes eye diseases Patient care surgical techniques Surgery endoscopic surgery vascular pedicled flaps Skull Temporoparietal fascia medicine.anatomical_structure medicine business skull base reconstruction Inferior turbinate flap |
| Zdroj: | Laryngoscope Investigative Otolaryngology |
| ISSN: | 2378-8038 |
| DOI: | 10.1002/lio2.471 |
| Popis: | Objective Techniques for reconstruction of skull base defects have advanced greatly since the introduction of the vascular pedicled nasoseptal flap in 2006. The objective of this review is to assess the current state of the field by examining both intranasal and extranasal techniques of vascular pedicled skull base defect repair, their indications and success rates, and novel techniques that are currently under investigation. Methods A review of the literature describing the use of vascular pedicled flaps in skull base defect reconstruction was conducted using PubMed and Google Scholar. Results The nasoseptal flap remains the most widely used vascular pedicled flap for endoscopic repair of skull base defects. Its ease of harvest, wide arch of rotation, and high success rates make it a popular choice among surgeons. Several variations including a “rescue” nasopseptal flap have been developed. Other less commonly used pedicled intranasal flaps include the middle turbinate flap and the posterior pedicled inferior turbinate flap. Additionally, several novel vascular pedicled flaps have been developed and tested in small cohorts of patients. Extranasal flaps such as the pericranial flap and the temporoparietal fascia flap are used less frequently than intranasal flaps. However, they remain valuable options for reconstruction in certain situations. Conclusion Advancements continue to be made in the field of skull base defect reconstruction using vascular pedicled flaps. Though the nasoseptal flap remains the most widely utilized option, additional intranasal techniques continue to be developed and tested to optimize surgical outcomes and patient care. Level of Evidence NA Endoscopic reconstruction of skull base defects has rapidly advanced since the introduction of the nasoseptal flap in 2006. Here, we review current techniques of vascular pedicled flap reconstruction of skull base defects, their indications and success rates, and novel techniques currently under investigation. |
| Databáze: | OpenAIRE |
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