Reconstruction of a skull base defect after endoscopic endonasal resection of a pituitary adenoma: Sphenoid mucosal flaps. uri icon

Overview

abstract

  • This report describes a bilateral sphenoid sinus mucosal flap for the repair of a sellar floor defect and CSF leak following endoscopic endonasal skull base surgery. The key advantage of this technique is enabling the sphenoid mucosal flaps to remain vascularized, which reduces postoperative complications including CSF leakage, recurrent sinusitis, meningitis, encephalitis and pneumocephalus. The use of this technique is a viable and possibly favorable alternative to free grafts in the reconstruction of small to medium sized sellar defects with low flow or absent CSF leaks base surgery.

authors

  • Goljo, Erden
  • Kinberg, Eliezer
  • Stepan, Katelyn
  • Gregory, Jill K
  • Iloreta, Alfred M
  • Govindaraj, Satish
  • Zou, Hongyan

publication date

  • December 20, 2017

Research

keywords

  • Nasal Mucosa
  • Natural Orifice Endoscopic Surgery
  • Pituitary Neoplasms
  • Plastic Surgery Procedures
  • Postoperative Complications
  • Skull Base
  • Surgical Flaps

Identity

Scopus Document Identifier

  • 85039725706

Digital Object Identifier (DOI)

  • 10.1016/j.amjoto.2017.12.015

PubMed ID

  • 29279249

Additional Document Info

volume

  • 39

issue

  • 2