Composite Chondromucosal Nasoseptal Flap for Reconstruction of Suprasellar Defects
| Autor: | Maria Peris-Celda, Tam Ramsey, Karthik Shastri, Carolyn DeBiase, Kent Curran, Carlos D. Pinheiro-Neto |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Novel technique
medicine.medical_specialty Adolescent Neurosurgical Procedures Surgical Flaps Resection 03 medical and health sciences 0302 clinical medicine Cerebrospinal fluid Meningeal Neoplasms Medicine Humans Nasal Septum Third Ventricle Aged 80 and over Skull Base Cerebrospinal fluid leak business.industry Plastic Surgery Procedures medicine.disease Surgery Skull Nasal Mucosa medicine.anatomical_structure Postoperative Periods 030220 oncology & carcinogenesis Female Neurology (clinical) business Meningioma Cerebral Ventricle Neoplasms 030217 neurology & neurosurgery |
| Zdroj: | World neurosurgery. 149 |
| ISSN: | 1878-8769 |
| Popis: | Background The pedicled nasoseptal flap (NSF) is the mainstay for endoscopic skull base reconstruction. We present a novel technique using a semirigid chondromucosal NSF that improves the reinforcement and protection of intracranial structures. Methods Composite NSFs were performed to repair intraoperative high-flow cerebrospinal fluid leaks in 2 patients who had undergone endoscopic endonasal resection of a suprasellar mass. The surgical technique and postoperative outcomes are described. Results The flaps were sufficient for defect coverage, and the patients did not experience any cerebrospinal fluid leak in the immediate and delayed postoperative periods. No complications related to the composite flap had developed. Conclusions The composite chondromucosal NSF is a reliable reconstruction option for select ventral cranial base reconstruction cases with the potential to improve the protection of intracranial structures. Additional surgical cases and longer follow-up are required for a better assessment of long-term outcomes. |
| Databáze: | OpenAIRE |
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