Beyond the Nasoseptal Flap: Outcomes and Pearls with Secondary Vascular Flaps in Skull Base Reconstruction

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Mihir Patel ◽  
Robert Taylor ◽  
Trevor Hackman ◽  
Deanna Sasaki-Adams ◽  
Matthew Ewend ◽  
...  
Keyword(s):  
Skull Base ◽  
Nasoseptal Flap ◽  
Skull Base Reconstruction

Endoscopic Skull Base Reconstruction with the Use of the Nasoseptal Flap: The TASMC Experience

2016 ◽  
Vol 77 (S 02) ◽  
Author(s):  
Anat Wengier ◽  
Dan Fliss ◽  
Zvi Ram ◽  
Nevo Margalit ◽  
Avraham Abergel
Keyword(s):  
Skull Base ◽  
Nasoseptal Flap ◽  
Skull Base Reconstruction

Nasoseptal Flap Takedown and Reuse in Endoscopic Skull Base Reconstruction

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Adam Zanation ◽  
Carl Snyderman ◽  
Ricardo Carrau ◽  
Paul Gardner ◽  
Daniel Prevedello ◽  
...  
Keyword(s):  
Skull Base ◽  
Nasoseptal Flap ◽  
Skull Base Reconstruction

Evaluation of Potential Nasoseptal Flap Size in Relationship to Flap Size Necessary for Frontal and Sphenoid Skull Base Reconstruction

2021 ◽  
Author(s):  
Andrey Filimonov ◽  
David Lerner ◽  
Peter Filip ◽  
Derek Kong ◽  
Todd Spock ◽  
...  
Keyword(s):  
Skull Base ◽  
Nasoseptal Flap ◽  
Skull Base Reconstruction

scholarly journals Skull base reconstruction with pedicled nasoseptal flap: Technique, indications, and limitations

2019 ◽  
Vol 47 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Gilles Reuter ◽  
Olivier Bouchain ◽  
Laurent Demanez ◽  
Félix Scholtes ◽  
Didier Martin
Keyword(s):  
Skull Base ◽  
Nasoseptal Flap ◽  
Skull Base Reconstruction ◽  
Flap Technique

scholarly journals Endoscopic Endonasal Reconstruction of High-Flow Cerebrospinal Fluid Leak with Fascia Lata “Button” Graft and Nasoseptal Flap: Surgical Technique and Case Series

2019 ◽  
Vol 81 (06) ◽  
pp. 645-650
Author(s):  
Roshni V. Khatiwala ◽  
Karthik S. Shastri ◽  
Maria Peris-Celda ◽  
Tyler Kenning ◽  
Carlos D. Pinheiro-Neto
Keyword(s):  
Cerebrospinal Fluid ◽  
Skull Base ◽  
Fascia Lata ◽  
High Flow ◽  
Csf Leak ◽  
Nasoseptal Flap ◽  
Endoscopic Endonasal ◽  
Skull Base Reconstruction ◽  
Csf Diversion ◽  
Csf Leaks

Abstract Background The endoscopic endonasal approach (EEA) has become increasingly used for resection of skull base tumors in the sellar and suprasellar regions. A nasoseptal flap (NSF) is routinely used for anterior skull base reconstruction; however, there are numerous additional allografts and autografts being used in conjunction with the NSF. The role of perioperative cerebrospinal fluid (CSF) diversion is also unclear. Objective This study was aimed to analyze success of high-flow CSF leak repair during EEA procedures without use of CSF diversion through lumbar drainage. Methods A retrospective chart review of patients who had intraoperative high-flow CSF leak during EEA procedures at our institution between January 2013 and December 2017 was performed. CSF leaks were repaired with use of a fascia lata button graft and nasoseptal flap, without use of perioperative lumbar drains. Results A total of 38 patients were identified (10 male, 28 female). Patient BMIs ranged from 19.7 to 49 kg/m2 (median = 31 kg/m2), with 18 patients meeting criteria for obesity (BMI > 30 kg/m2) and 12 patients overweight (25 kg/m2 < BMI < 29.9 kg/m2). There was no incidence of postoperative CSF leak. Conclusion In our experience, the nasoseptal flap used in conjunction with the fascia lata button graft is a safe, effective and robust combination for cranial base reconstruction with high-flow intraoperative CSF leaks, without need for lumbar drains.

Endoscopic skull base reconstruction with the nasoseptal flap: complications and risk factors

2019 ◽  
Vol 276 (9) ◽  
pp. 2491-2498 ◽  
Author(s):  
Anat Wengier ◽  
Zvi Ram ◽  
Anton Warshavsky ◽  
Nevo Margalit ◽  
Dan M. Fliss ◽  
...  
Keyword(s):  
Risk Factors ◽  
Skull Base ◽  
Nasoseptal Flap ◽  
Skull Base Reconstruction

Beyond the nasoseptal flap: Outcomes and pearls with secondary flaps in endoscopic endonasal skull base reconstruction

2014 ◽  
Vol 124 (4) ◽  
pp. 846-852 ◽  
Author(s):  
Mihir R. Patel ◽  
Robert J. Taylor ◽  
Trevor G. Hackman ◽  
Anand V. Germanwala ◽  
Deanna Sasaki-Adams ◽  
...  
Keyword(s):  
Skull Base ◽  
Nasoseptal Flap ◽  
Endoscopic Endonasal ◽  
Skull Base Reconstruction

Improving the Design of the Pedicled Nasoseptal Flap for Skull Base Reconstruction: A Radioanatomic Study

2007 ◽  
Vol 117 (9) ◽  
pp. 1560-1569 ◽  
Author(s):  
Carlos Diogenes Pinheiro-Neto ◽  
Daniel M. Prevedello ◽  
Ricardo L. Carrau ◽  
Carl H. Snyderman ◽  
Arlan Mintz ◽  
...  
Keyword(s):  
Skull Base ◽  
Nasoseptal Flap ◽  
Skull Base Reconstruction

The Extended Nasoseptal Flap for Skull Base Reconstruction of the Clival Region: An Anatomical and Radiological Study

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Maria Peris-Celda ◽  
Carlos Pinheiro-Neto ◽  
Takeshi Funaki ◽  
Juan Fernandez-Miranda ◽  
Paul Gardner ◽  
...  
Keyword(s):  
Skull Base ◽  
Nasoseptal Flap ◽  
Skull Base Reconstruction ◽  
Radiological Study
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