scholarly journals Comparison of a purely endoscopic three-layer technique versus pericranial flap for reconstruction of anterior skull base defects after sino-nasal tumor resection: assessment of postoperative frontal lobe sagging and frontal lobe falling

2020 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
G. Fiacchini ◽  
S. De Santi ◽  
D. Trico ◽  
C. Cambi ◽  
V. Seccia ◽  
...  
Keyword(s):  
Skull Base ◽  
Frontal Lobe ◽  
Tumor Resection ◽  
Anterior Skull Base ◽  
Pericranial Flap ◽  
Layer Technique ◽  
Nasal Tumor ◽  
Skull Base Defects

Pericranial Flap for Closure of Paramedian Anterior Skull Base Defects

2002 ◽  
Vol 127 (6) ◽  
pp. 494-500 ◽  
Author(s):  
Michael C. Noone ◽  
J. David Osguthorpe ◽  
Sunil Patel
Keyword(s):  
Cerebrospinal Fluid ◽  
Skull Base ◽  
Anterior Skull Base ◽  
Cerebrospinal Fluid Leakage ◽  
Flap Reconstruction ◽  
Brain Herniation ◽  
Craniofacial Resection ◽  
Pericranial Flap ◽  
Clinically Significant ◽  
Skull Base Defects

OBJECTIVE: We sought to examine the position of a pericranial flap reconstruction of anterior skull base defects with respect to the original floor of the anterior cranial fossa. STUDY DESIGN: A retrospective chart and radiology review of 17 patients (1993–2001) with pericranial flap reconstruction for anterior skull base defects and 17 controls was performed. RESULTS: At 6 or more months after surgery, the new positions of the pericranial flaps ranged from 5 mm above to 11.3 mm below the positions of the original cribriform plates. There were no complications related to the pericranial flaps such as hemorrhage, flap loss, or brain herniation except for 2 (11.8%) cerebrospinal fluid leaks, 1 of which required operative correction. CONCLUSION: Pericranial flap reconstruction is a reliable method with low morbidity for closure of the most common skull base defect from the craniofacial resection that entails removal—unilateral or bilateral—of the fovea ethmoidalis, cribriform plate, and/or superior septum. This flap creates a watertight seal between the extradural space and the nasal cavity, prevents clinically significant brain herniation, and is associated with a low rate of cerebrospinal fluid leakage even without postoperative lumbar subarachnoid drainage of the cerebrospinal fluid.

The Reconstruction of Anterior Skull Base Defects after Craniofacial Tumor Resection

Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
Dmitry Shkout ◽  
Yuri Shanko
Keyword(s):  
Skull Base ◽  
Tumor Resection ◽  
Anterior Skull Base ◽  
Skull Base Defects

Double Flap Technique for Reconstruction of Anterior Skull Base Defects after Craniofacial Tumor Resection

Skull Base ◽  
2011 ◽  
Vol 21 (S 01) ◽  
Author(s):  
Lana Christiano ◽  
Dare Ajibade ◽  
Jean Eloy ◽  
James Liu
Keyword(s):  
Skull Base ◽  
Tumor Resection ◽  
Anterior Skull Base ◽  
Flap Technique ◽  
Skull Base Defects

scholarly journals THE PERICRANIAL FLAP FOR RECONSTRUCTION OF ANTERIOR SKULL BASE DEFECTS

1988 ◽  
Vol 98 (11) ◽  
pp. 1159???1164 ◽  
Author(s):  
John C. Price ◽  
Mark Loury ◽  
Benjamin Carson ◽  
Michael E. Johns
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Pericranial Flap ◽  
Skull Base Defects

Double flap technique for reconstruction of anterior skull base defects after craniofacial tumor resection: technical note

2012 ◽  
Vol 3 (5) ◽  
pp. 425-430 ◽  
Author(s):  
Jean Anderson Eloy ◽  
Osamah J. Choudhry ◽  
Lana D. Christiano ◽  
Dare V. Ajibade ◽  
James K. Liu
Keyword(s):  
Skull Base ◽  
Tumor Resection ◽  
Technical Note ◽  
Anterior Skull Base ◽  
Flap Technique ◽  
Skull Base Defects

Endoscopic Endonasal Repair of Anterior Skull Base Defects: The Initial Experience at LSU HSC Shreveport

2019 ◽  
Author(s):  
Jennifer Kosty ◽  
Lori Lemonnier ◽  
Papireddy Bollam ◽  
Bharat Guthikonda
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Initial Experience ◽  
Endoscopic Endonasal ◽  
Skull Base Defects

Management of Frontal Mucocele after Pericranial Flap Reconstruction of Anterior Skull Base Resection Defect

2020 ◽  
Author(s):  
Matthew Kim ◽  
Carl Snyderman ◽  
Andrew Tassler
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Flap Reconstruction ◽  
Pericranial Flap

scholarly journals Preservation of nasal turbinates in endoscopic, anterior skull base surgery—yes, we can!

2021 ◽  
Author(s):  
Axel Wolf ◽  
Alexandros Andrianakis ◽  
Peter Valentin Tomazic ◽  
Michael Mokry ◽  
Georg Clarici ◽  
...  
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Tumor Resection ◽  
Tumor Location ◽  
Anterior Skull Base ◽  
Tumor Diameter ◽  
Tumor Type ◽  
Preoperative Information ◽  
Medical University ◽  
Significant Factors

Abstract Objective To evaluate the frequency, type and indications of nasal turbinate (NT) resection during endoscopic, anterior skull base surgery and to analyze factors that may have an impact on the need of NT removal. Methods In this retrospective cohort study, 306 subjects (150 males and 156 females, mean age 55.4 ± 15.3 years) who underwent multidisciplinary, transnasal, endoscopic tumor surgery of the anterior skull base using 4-handed techniques between 2011 and 2019 at the Department of Otorhinolaryngology, Medical University of Graz, were included. Results In the majority of interventions (n = 281/306; 91.8%), all NT were preserved. Significant factors influencing the need of NT resections turned out to be type of endoscopic approach (p < 0.001; V = 0.304), sagittal (p = 0.003; d = 0.481) and transversal (p = 0.017; d = 0.533) tumor diameter, tumor type (p < 0.001; V = 0.355) and tumor location (p < 0.001; V = 0.324). Conclusions NT can be preserved in the majority of patients undergoing tumor resection in anterior, transnasal, skullbase surgery and routine resection of NT should be avoided. Variables that have an impact on the need of NT resections are types of endoscopic approaches, sagittal and transversal tumor extension and tumor type. These factors should be considered in planning of surgery and preoperative information of patients.

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

Use of Dental Bisphenol A-Glycidyl Methacrylate Composite to Repair Refractory Cerebrospinal Fluid Leaks Associated With Large-Scale Anterior Skull Base Defects

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Djientcheu Vincent de Paul ◽  
Casimir Fankem ◽  
Dia R. Halalmeh ◽  
Ewo Clement ◽  
Aubin Sandio ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Bisphenol A ◽  
Skull Base ◽  
Glycidyl Methacrylate ◽  
Large Scale ◽  
Anterior Skull Base ◽  
Cerebrospinal Fluid Leaks ◽  
Skull Base Defects
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