The inferior turbinate flap in skull base reconstruction.
J Otolaryngol Head Neck Surg
; 42: 6, 2013 Jan 31.
Article
em En
| MEDLINE
| ID: mdl-23663897
ABSTRACT
BACKGROUND:
As the indications for expanded endonasal approaches continue to evolve, alternative reconstructive techniques are needed to address increasingly complex surgical skull base defects. In the absence of the nasoseptal flap, we describe our experience with the posterior pedicle inferior turbinate flap (PPITF) in skull base reconstruction.DESIGN:
Case series.SETTING:
Academic tertiary care centre.METHODS:
Patients who underwent reconstruction of the skull base with the PPITF were identified. Medical records were reviewed for demographic, presentation, treatment, follow-up, surgical and outcomes data. MAIN OUTCOMEMEASURES:
Flap survival, adequacy of seal, and complications.RESULTS:
Two patients with residual/recurrent pituitary adenomas met the inclusion criteria. The nasoseptal flap was unavailable in each case due to a prior septectomy. Salvage of the original nasoseptal flap was not possible, as it did not provide adequate coverage of the resultant defect due to contraction from healing. All PPITFs healed uneventfully and covered the entire defect. No complications were observed in the early post-operative period. Endoscopic techniques and limitations of the PPITF are also discussed.CONCLUSIONS:
Our clinical experience supports the PPITF to be a viable alternative for reconstruction of the skull base in the absence of the nasoseptal flap.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Hipofisárias
/
Retalhos Cirúrgicos
/
Adenoma
/
Base do Crânio
/
Procedimentos de Cirurgia Plástica
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Otolaryngol Head Neck Surg
Assunto da revista:
OTORRINOLARINGOLOGIA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Canadá