Endoscopic Reconstruction of Anterior Skull Base Defects

2012 ◽  
pp. 168-181
Author(s):  
Adam M. Zanation ◽  
Ricardo L. Carrau ◽  
Carl H. Snyderman ◽  
Amin B. Kassam ◽  
Paul A. Gardner ◽  
...  
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Endoscopic Reconstruction ◽  
Skull Base Defects

Endoscopic reconstruction of large anterior skull base defects with opening of the sellar diaphragm. Experience at a tertiary level university hospital

2019 ◽  
Vol 133 (10) ◽  
pp. 889-894
Author(s):  
C Carnevale ◽  
M Tomás-Barberán ◽  
G Til-Pérez ◽  
J Ibañez-Domínguez ◽  
D Arancibia-Tagle ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Skull Base ◽  
Middle Turbinate ◽  
Cerebrospinal Fluid Leak ◽  
Lateral Wall ◽  
Anterior Skull Base ◽  
University Hospital ◽  
Endoscopic Reconstruction ◽  
Skull Base Defects ◽  
Fluid Leak

AbstractBackgroundThe indications for expanded endoscopic transnasal approaches continue to increase, with more complex skull base defects needing to be repaired. This study reviews the management of large anterior skull base defects with opening of the sellar diaphragm.MethodA prospective analysis of endonasal endoscopic surgery carried out at Son Espases University Hospital between January 2013 and December 2018 was performed. The analysis included only the cases with a significative intra-operative cerebrospinal fluid leak. In all cases, reconstruction was performed by combining the gasket seal technique with a pedicled mucosal endonasal flap.ResultsTwenty-eight patients were included. The mucoperiosteal nasoseptal flap, the lateral wall flap and the middle turbinate flap were used in 13, 8 and 7 patients, respectively, combined with the gasket seal technique. One case of post-operative cerebrospinal fluid leak was observed (3.57 per cent).ConclusionThe combination of a gasket seal with an endonasal mucosal flap is an excellent technique for repairing large anterior skull base defects.

Radial Forearm Free Flap With Titanium Mesh Sandwich Reconstruction in Complex Anterior Skull Base Defects

2012 ◽  
Vol 23 (6) ◽  
pp. 1763-1765 ◽  
Author(s):  
Vincent L. Biron ◽  
Menachem Gross ◽  
Robert Broad ◽  
Hadi Seikaly ◽  
Erin D. Wright
Keyword(s):  
Skull Base ◽  
Free Flap ◽  
Anterior Skull Base ◽  
Radial Forearm Free Flap ◽  
Titanium Mesh ◽  
Radial Forearm ◽  
Skull Base Defects

Incidence of Postoperative CSF Leak Using a Single-Layer Closure with Acellular Dermal Allograft for Anterior Skull Base Defects

2021 ◽  
Author(s):  
Pawina Jiramongkolchai ◽  
Jake J. Lee ◽  
Cristine N. Klatt-Cromwell ◽  
Albert H. Kim ◽  
Michael R. Chicoine ◽  
...  
Keyword(s):  
Skull Base ◽  
Single Layer ◽  
Anterior Skull Base ◽  
Csf Leak ◽  
Skull Base Defects ◽  
Acellular Dermal
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