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Pedicled frontal periosteal rescue flap via eyebrow incision for skull base reconstruction (SevEN-002).
Jang, Chang Ki; Park, Soo Jeong; Kim, Eui Hyun; Cho, Jin Mo; Moon, Ju Hyung; Sung, Kyoung Su; Hong, Je Beom; Lim, Jaejoon Joon; Na, Minkyun; Hong, Chang-Ki; Roh, Tae Hoon; Oh, Jiwoong.
Afiliação
  • Jang CK; Department of Neurosurgery, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Gyeonggi-do, South Korea.
  • Park SJ; College of Medicine, Kangwon National University, Chuncheon, South Korea.
  • Kim EH; Department of Neurosurgery, Ewha Womans University Medical Center, Seoul Hospital, Seoul, South Korea.
  • Cho JM; Department of Neurosurgery, Yonsei University College of Medicine, 50 Yonsei-ro, 120-752, Seodaemun-gu, Seoul, South Korea.
  • Moon JH; Brain Tumor Center, Yonsei University College of Medicine, Seoul, South Korea.
  • Sung KS; Pituitary Tumor Center, Yonsei University College of Medicine, Seoul, South Korea.
  • Hong JB; Department of Neurosurgery, Catholic Kwandong University College of Medicine, Incheon, South Korea.
  • Lim JJ; Department of Neurosurgery, Yonsei University College of Medicine, 50 Yonsei-ro, 120-752, Seodaemun-gu, Seoul, South Korea.
  • Na M; Brain Tumor Center, Yonsei University College of Medicine, Seoul, South Korea.
  • Hong CK; Pituitary Tumor Center, Yonsei University College of Medicine, Seoul, South Korea.
  • Roh TH; Department of Neurosurgery, Dong-A University College of Medicine, Busan, Korea.
  • Oh J; Department of Neurosurgery, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, South Korea.
BMC Surg ; 22(1): 151, 2022 Apr 29.
Article em En | MEDLINE | ID: mdl-35488272
PURPOSE: Cerebrospinal fluid (CSF) leakage is one of the major complications after endoscopic endonasal surgery. The reconstructive nasoseptal flap is widely used to repair CSF leakage. However, it could not be utilized in all cases; thus, there was a need for an alternative. We developed a pericranial rescue flap that could cover both sellar and anterior skull base defects via the endonasal approach. A modified surgical technique that did not violate the frontal sinus and cause cosmetic problems was designed using the pericranial rescue flap. METHODS: We performed 12 cadaveric dissections to investigate the applicability of the lateral pericranial rescue flap. An incision was made, extending from the middle to the lateral part of the eyebrow. The pericranium layer was dissected away from the galea layer, from the supraorbital region towards the frontoparietal region. With endoscopic assistance, the periosteal flap was raised, the flap base was the pericranium layer at the eyebrow incision. After a burr-hole was made in the supraorbital bone, the pericranial flap was inserted via the intradural or extradural pathway. RESULTS: The mean size of the pericranial flap was 11.5 cm × 3.2 cm. It was large enough to cross the midline and cover the dural defects of the anterior skull base, including the sellar region. CONCLUSION: We demonstrated a modified endoscopic technique to repair the anterior skull base defects. This minimally invasive pericranial flap may resolve neurosurgical complications, such as CSF leakage.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Procedimentos de Cirurgia Plástica / Ferida Cirúrgica Tipo de estudo: Etiology_studies Limite: Humans Idioma: En Revista: BMC Surg Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Coréia do Sul

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Procedimentos de Cirurgia Plástica / Ferida Cirúrgica Tipo de estudo: Etiology_studies Limite: Humans Idioma: En Revista: BMC Surg Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Coréia do Sul