Direct Endonasal Approach with Partial Upper Posterior Septectomy. A 'Rescue Flap' Technique Modification
| Autor: | Angel Martínez-Ponce de León, Arturo Sotomayor-González, Isaac Jair Palacios-Ortiz, Everardo Garcia-Estrada, Armando José Díaz-Martínez, Mauricio Arteaga-Treviño, Ramón Radillo-Gil, Jesús Alberto Morales-Gómez, Samuel Pérez-Cárdenas |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Leak Sphenoidal sinus medicine.diagnostic_test business.industry Outcome measures Technical note Surgery Endoscopy Dural defect 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Neurology (clinical) 030223 otorhinolaryngology Pituitary surgery business 030217 neurology & neurosurgery |
| Popis: | Objective Report a modification of the “rescue flap” technique using a direct endonasal approach with a partial superior septectomy for approaching pituitary tumors developed in our institution. Design Prospective study. Setting Hospital Universitario “Dr. Jose Eleuterio Gonzalez,” Universidad Autonoma de Nuevo Leon. Main Outcome Measures Since April 2015, we have performed 19 cases employing a direct endonasal approach with partial superior septectomy. Results and a technical note are described below. Results Nineteen patients were included in this report. Six patients presented transoperatory cerebrospinal fluid (CSF) leak, so a nasoseptal rescue flap was harvested. No patients developed postoperative CSF leak in this group. Two patients were submitted to a second surgical procedure. Nasoseptal flap was harvested without complications. In both patients, the size of the flap was enough to cover the dural defect and avoid CSF leak. Conclusion Direct endonasal approach with a partial posterior septectomy allows enough exposition of the sphenoidal sinus while preserving the nasoseptal septum with the possibility of a successful rescue flap when needed. |
| Databáze: | OpenAIRE |
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