Reconstruction of the skull base in spontaneous rhinoliquorrhea

Jakob, Mark; Bertlich, Mattis; Eichhorn, Klaus; Thudium, Marcus; Bootz, Friedrich; Send, Thorsten

doi:10.3205/iprs000137

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2021

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“…1H). The "sandwich graft" was then placed in underlay technique, as has been described for various defects, 14 into the perforation and fixed with sutures (4.0 Monocryl sutures, ►Fig. 1J, ►Fig.…”

Section: Surgical Approachmentioning

confidence: 99%

Nasal Septal Perforation Closure by “Sandwich Grafts”: Technique, Initial Results

et al. 2021

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Nasal septal perforation closure represents a considerable surgical challenge. Many techniques rely on the implantation of foreign materials that pose a persisting threat of infection. The authors have identified a reliable technique closing septal perforations by an autologous “sandwich graft.” It is layered around a piece of auricular cartilage, covered with temporal fascia, thus emulating the physiological layers of the nasal septum. Finally, the prepared graft is then sewn into the perforation in an underlay technique and kept in place by septal splints for 4 weeks. The technique is easily feasible and strives to reconstruct the nasal as physiological as possible. The data obtained from a case series of 11 patients highlights the efficacy of the technique.

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Section: Surgical Approachmentioning

confidence: 99%