Closure of Skull Base Defects after Endonasal Endoscopic Resection of Planum Sphenoidale and Tuberculum Sellae Meningiomas
| Autor: | Williams Escalante Encinas, Henrique Bortot Zuppani, Paulo Roberto Lazarini, Amanda André Monteiro, Américo Rubens Leite dos Santos, Alexandre B. Todeschini, Ricardo Landini Lutaif Dolci, Jamile Lopes de Souza, Jeniffer Cristina Kozechen Rickli, Igor Gomes Padilha |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Planum temporale surgical flaps meningioma 030218 nuclear medicine & medical imaging Meningioma 03 medical and health sciences 0302 clinical medicine Fascia lata medicine Surgical Flaps Brain abscess Cerebrospinal fluid leak business.industry skull base General Medicine medicine.disease Surgery body regions Skull medicine.anatomical_structure Tuberculum sellae Original Article business 030217 neurology & neurosurgery |
| Zdroj: | Asian Journal of Neurosurgery |
| ISSN: | 2248-9614 1793-5482 |
| Popis: | Background: The expanded endoscopic endonasal transplanum transtuberculum approach allows tumor removal by minimally invasive procedures. A large dural and bone defect is created during the surgical procedure, increasing the risk of postoperative cerebrospinal fluid (CSF) leakage. Objective: The aim of this study is to describe a surgical technique and complications observed in patients undergoing endonasal resection of planum sphenoidale and/or tuberculum sellae meningiomas. Methods: A retrospective analysis was performed of patients with planum sphenoidale and/or tuberculum sellae meningiomas after expanded endoscopic endonasal resection between June 2013 and August 2018, in which autologous grafts, fascia lata inlay, and nasoseptal flap onlay were used for closure of skull base defects. Results: Ten patients were included in the analysis. No cases of postoperative CSF leakages or meningitis were reported, whereas two patients evolved with postoperative infectious complications (fungal ball in right frontal sinus and brain abscess). The skull base defect created for resection measured, on average, 3.58 cm2. Conclusion: Our experience suggests that closure of skull base defects using combined fascia lata inlay and nasoseptal flap onlay is effective for preventing postoperative CSF leakage in resection of planum sphenoidale and/or tuberculum sellae meningiomas, and offers high reproducibility due to its low cost. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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