Panorama of Reconstruction of Skull Base Defects: From Traditional Open to Endonasal Endoscopic Approaches, from Free Grafts to Microvascular Flaps
Int. arch. otorhinolaryngol. (Impr.)
;
18(supl.2): 179-186, Apr-Jun/2014. graf
Article
in English
| LILACS
| ID: lil-728759
ABSTRACT
Introduction:
A substantial body of literature has been devoted to the distinct characteristics and surgical options to repair the skull base. However, the skull base is an anatomically challenging location that requires a three-dimensional reconstruction approach. Furthermore, advances in endoscopic skull base surgery encompass a wide range of surgical pathology, from benign tumors to sinonasal cancer. This has resulted in the creation of wide defects that yield a new challenge in skull base reconstruction. Progress in technology and imaging has made this approach an internationally accepted method to repair these defects.Objectives:
Discuss historical developments and flaps available for skull base reconstruction. DataSynthesis:
Free grafts in skull base reconstruction are a viable option in small defects and low-flow leaks. Vascularized flaps pose a distinct advantage in large defects and high-flow leaks. When open techniques are used, free flap reconstruction techniques are often necessary to repair large entry wound defects.Conclusions:
Reconstruction of skull base defects requires a thorough knowledge of surgical anatomy, disease, and patient risk factors associated with high-flow cerebrospinal fluid leaks. Various reconstruction techniques are available, from free tissue grafting to vascularized flaps. Possible complications that can befall after these procedures need to be considered. Although endonasal techniques are being used with increasing frequency, open techniques are still necessary in selected cases...
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Surgical Flaps
/
Skull Base
/
Endoscopy
Type of study:
Risk factors
Limits:
Humans
Language:
English
Journal:
Int. arch. otorhinolaryngol. (Impr.)
Journal subject:
Otolaryngology
Year:
2014
Type:
Article
Affiliation country:
United States
Institution/Affiliation country:
Georgia Regents University/US
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