Sigmoid incision rescue nasoseptal flap technique for endoscopic endonasal skull base surgery
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- Hiroyuki Ozawa
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan;
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- Toshiki Tomita
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan;
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- Yoshihiro Watanabe
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan;
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- Mariko Sekimizu
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan;
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- Fumihiro Ito
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan;
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- Yuichi Ikari
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan;
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- Shin Saito
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan;
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- Masahiro Toda
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan;
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- Kaoru Ogawa
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan;
書誌事項
- 公開日
- 2016-02-22
- 資源種別
- journal article
- DOI
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- 10.3109/00016489.2016.1143122
- 公開者
- Informa UK Limited
この論文をさがす
説明
Conclusion The sigmoid-incision (S-I) rescue flap technique has the advantage of both reduced-invasiveness and providing a sufficient surgical corridor for endoscopic endonasal skull base surgery (EESBS). Objective Skull base reconstruction with nasoseptal flap (NSF) is critically important in managing post-operative cerebrospinal fluid (CSF) leakage after tumor removal by EESBS. The NSF needs to be elevated before sphenoidotomy and posterior septectomy to preserve the pedicle. However, most extradural surgery without CSF leakage does not require NSF and, therefore, NSF preparation is often futile. As a result, a rescue flap technique to overcome this problem has been developed, whereby a new S-I rescue flap method is used that enables wide exposure of the sphenoidal rostrum and smooth manipulation of surgical instruments to preserve the NSF pedicle. Materials and methods Starting in April 2014, 19 cases underwent EESBS with S-I rescue flap. Results All patients underwent tumor resection under an adequate operative field with smooth manipulation of surgical instruments. Two complications were experienced. One patient had CSF leak after removal of the nasal packing, but the leakage was successfully closed by conventional NSF. Another patient had epistaxis from the septal wall, but this was controlled by electrocautery.
収録刊行物
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- Acta Oto-Laryngologica
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Acta Oto-Laryngologica 136 (6), 636-640, 2016-02-22
Informa UK Limited
