Middle turbinate manipulation and postoperative sinus obstruction after endoscopic endonasal skull-base surgery

2018 ◽  
Vol 8 (10) ◽  
pp. 1132-1135 ◽  
Author(s):  
Thomas J. Willson ◽  
Nicholas R. Rowan ◽  
Eric W. Wang
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Middle Turbinate ◽  
Endoscopic Endonasal

Iatrogenic Mucosal Injury during Endoscopic Endonasal Skull Base Surgery

2014 ◽  
Vol 75 (S 01) ◽  
Author(s):  
James Byrd ◽  
Eric Wang ◽  
Juan Fernandez-Miranda ◽  
Paul Gardner ◽  
Carl Snyderman
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Mucosal Injury ◽  
Endoscopic Endonasal

The “Gasket-Seal” Watertight Closure in Endoscopic Endonasal Skull Base Surgery

Skull Base ◽  
2007 ◽  
Vol 17 (S 2) ◽  
Author(s):  
Theodore Schwartz ◽  
Seth Brown ◽  
Abtin Tabaee ◽  
Vijay Anand
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Endoscopic Endonasal ◽  
Watertight Closure

Nasopharyngeal muscle patch for the management of internal carotid artery injury in endoscopic endonasal surgery

2020 ◽  
Vol 133 (5) ◽  
pp. 1382-1387 ◽  
Author(s):  
Wei-Hsin Wang ◽  
Stefan Lieber ◽  
Ming-Ying Lan ◽  
Eric W. Wang ◽  
Juan C. Fernandez-Miranda ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Skull Base ◽  
Internal Carotid ◽  
Skull Base Surgery ◽  
Management Technique ◽  
Endoscopic Endonasal Surgery ◽  
Endonasal Surgery ◽  
Endoscopic Endonasal ◽  
Muscle Graft

OBJECTIVEInjury to the internal carotid artery (ICA) is the most critical complication of endoscopic endonasal skull base surgery. Packing with a crushed muscle graft at the injury site has been an effective management technique to control bleeding without ICA sacrifice. Obtaining the muscle graft has typically required access to another surgical site, however. To address this concern, the authors investigated the application of an endonasally harvested longus capitis muscle patch for the management of ICA injury.METHODSOne colored silicone-injected anatomical specimen was dissected to replicate the surgical access to the nasopharynx and the stepwise dissection of the longus capitis muscle in the nasopharynx. Two representative cases were selected to illustrate the application of the longus capitis muscle patch and the relevance of clinical considerations.RESULTSA suitable muscle graft from the longus capitis muscle could be easily and quickly harvested during endoscopic endonasal skull base surgery. In the illustrative cases, the longus capitis muscle patch was successfully used for secondary prevention of pseudoaneurysm formation following primary bleeding control on the site of ICA injury.CONCLUSIONSNasopharyngeal harvest of a longus capitis muscle graft is a safe and practical method to manage ICA injury during endoscopic endonasal surgery.

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