Anterior Skull Base Reconstruction

Racette, Samuel D.; Tekumalla, Sruti; Agarwal, Aarti; Curry, Joseph M.; Beahm, Donald D.

doi:10.1016/j.otc.2023.04.015

Cited by 6 publications

(8 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Multiple studies have shown that smaller defects of 1 cm 2 or less can be successfully reconstructed with grafts alone, while large defects with high flows have significantly improved repair rates when vascularized tissue is used [7]. Additionally, multi-layer reconstruction is critical for patients with very large defects [8,9].…”

Section: Reconstructive Goalsmentioning

confidence: 99%

“…Free mucosal grafts can be harvested from the inferior or middle turbinate, nasal floor, nasal sidewall, or septum. These have been shown to be sufficient for small defects of less than 1 cm 2 , with no CSF leak or a low-flow CSF leak [8,15]. Free mucosal grafts can be a beneficial tool as they can be harvested at the primary surgical site with a range of harvest sites within the nasal cavity and can be used as elements in a multi-layer closure.…”

Section: Skull Base Reconstructive Laddermentioning

confidence: 99%

“…Multi-layer closure techniques are an essential component of skull base reconstruction and have decreased postoperative CSF leak rates to between 5-10% [2]. In patients with large defects and low-flow CSF leaks or patients with high-flow CSF leaks, multilayer repair is recommended [8]. This often consists of subdural inlay grafts, onlay grafts (non-mucosalized), and a vascularized flap.…”

Section: Multi-layer Closurementioning

confidence: 99%

“…Figure 3 demonstrates preoperative and postoperative MRI images of recurrent adenoid cystic carcinoma and subsequent skull base reconstruction with an anterolateral thigh free flap. Fibula and subscapular system flaps have the benefit of osseous reconstruction to reconstruct the bony buttresses of the face for function and cosmesis [8,32]. The most common vessels to sue for anastomosis are the facial artery and vein.…”

Section: Free Tissue Transfermentioning

confidence: 99%

See 3 more Smart Citations

Skull Base Reconstruction by Subsite after Sinonasal Malignancy Resection

Kraimer,

Geltzeiler

2024

Cancers

View full text Add to dashboard Cite

Reconstruction after the resection of sinonasal malignancies is complex and primarily dependent on the defect size and location. While the reconstructive paradigm for sellar mass resection is well delineated, the challenges associated with reconstruction after sinonasal malignancy resection are less well described. This narrative review will address the goals of reconstruction after both endonasal endoscopic and open sinonasal malignancy resection and reconstructive options specific to these subsites. The goals of reconstruction include repairing cerebrospinal fluid leaks, restoring sinonasal function, providing a nasal airway, and optimizing the patient’s quality of life. These goals are often complicated by the anatomic nuances of each involved sinus. In this review, we will discuss the methods of reconstruction specific to each sinonasal subsite and describe the factors that guide choosing the optimal reconstructive technique.

show abstract

Section: Reconstructive Goalsmentioning

confidence: 99%

Section: Skull Base Reconstructive Laddermentioning

confidence: 99%

Section: Multi-layer Closurementioning

confidence: 99%

Section: Free Tissue Transfermentioning

confidence: 99%

See 2 more Smart Citations

Skull Base Reconstruction by Subsite after Sinonasal Malignancy Resection

Kraimer,

Geltzeiler

2024

Cancers

View full text Add to dashboard Cite

show abstract

“…Typical reconstructive ladders and algorithms dictate that intraoperative CSF leaks encountered during endoscopic transsphenoidal pituitary surgery warrant the use of the NSF [ 61 ]. The NSF is often combined with additional closure techniques such as continuous dural suturing and multilayered closure with autologous fascia grafts [ 62 ].…”

Section: Donor Site Complicationsmentioning

confidence: 99%

Reconstruction of the Anterior Skull Base Using the Nasoseptal Flap: A Review

Werner,

Yeoh,

Fastenberg

et al. 2023

Cancers

View full text Add to dashboard Cite

The nasoseptal flap is a workhorse reconstructive option for anterior skull base defects during endonasal surgery. This paper highlights the versatility of the nasoseptal flap. After providing a brief historical perspective, this review will focus on the relevant primary literature published in the last ten years. We will touch upon new applications of the flap, how the flap has been modified to expand its reach and robustness, and some of the current limitations. We will conclude by discussing what the future holds for improving upon the design and use of the nasoseptal flap in anterior skull base reconstruction.

show abstract