Anterior Pedicle Lateral Nasal Wall Flap: A Novel Technique for the Reconstruction of Anterior Skull Base Defects

2011 ◽  
Vol 121 (S5) ◽  
pp. S355-S355
Author(s):  
Gustavo Hadad ◽  
Carlos M Rivera-Serrano ◽  
Luis Bassagaisteguy ◽  
Ricardo Carrau ◽  
Daniel Prevedello ◽  
...  
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Lateral Nasal Wall ◽  
Novel Technique ◽  
Skull Base Defects

Anterior Pedicle Lateral Nasal Wall Flap: A Novel Technique for the Reconstruction of Anterior Skull Base Defects

2012 ◽  
Vol 73 (S 01) ◽  
Author(s):  
G. Hadad ◽  
C. Rivera-Serrano ◽  
L. Bassagasteguy ◽  
R. L. Carrau ◽  
D. M. Prevedello ◽  
...  
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Lateral Nasal Wall ◽  
Novel Technique ◽  
Skull Base Defects

Anterior pedicle lateral nasal wall flap: A novel technique for the reconstruction of anterior skull base defects

2011 ◽  
Vol 121 (8) ◽  
pp. 1606-1610 ◽  
Author(s):  
Gustavo Hadad ◽  
Carlos M. Rivera-Serrano ◽  
Luis H. Bassagaisteguy ◽  
Ricardo L Carrau ◽  
Juan Fernandez-Miranda ◽  
...  
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Lateral Nasal Wall ◽  
Novel Technique ◽  
Skull Base Defects

Radial Forearm Free Flap With Titanium Mesh Sandwich Reconstruction in Complex Anterior Skull Base Defects

2012 ◽  
Vol 23 (6) ◽  
pp. 1763-1765 ◽  
Author(s):  
Vincent L. Biron ◽  
Menachem Gross ◽  
Robert Broad ◽  
Hadi Seikaly ◽  
Erin D. Wright
Keyword(s):  
Skull Base ◽  
Free Flap ◽  
Anterior Skull Base ◽  
Radial Forearm Free Flap ◽  
Titanium Mesh ◽  
Radial Forearm ◽  
Skull Base Defects

Incidence of Postoperative CSF Leak Using a Single-Layer Closure with Acellular Dermal Allograft for Anterior Skull Base Defects

2021 ◽  
Author(s):  
Pawina Jiramongkolchai ◽  
Jake J. Lee ◽  
Cristine N. Klatt-Cromwell ◽  
Albert H. Kim ◽  
Michael R. Chicoine ◽  
...  
Keyword(s):  
Skull Base ◽  
Single Layer ◽  
Anterior Skull Base ◽  
Csf Leak ◽  
Skull Base Defects ◽  
Acellular Dermal

Endoscopic Repair of Anterior Skull Base Defects

2010 ◽  
pp. 281-285
Author(s):  
Manuel Bernal-Sprekelsen ◽  
Isam Alobid ◽  
Joaquim Mullol ◽  
Alfonso Garcia-Piñero
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Endoscopic Repair ◽  
Skull Base Defects

Use of Autologous Fat Grafts for the Endoscopic Reconstruction of Skull Base Defects: Indications, Outcomes, and Complications

2018 ◽  
Vol 32 (4) ◽  
pp. 310-317 ◽  
Author(s):  
Kent Lam ◽  
Amber U. Luong ◽  
William C. Yao ◽  
Martin J. Citardi
Keyword(s):  
Skull Base ◽  
Tertiary Care ◽  
Anterior Skull Base ◽  
Fat Graft ◽  
Skull Base Reconstruction ◽  
Autologous Fat ◽  
Fat Grafts ◽  
Autologous Fat Graft ◽  
Skull Base Defects ◽  
Csf Leaks

Background The use of abdominal free fat is a traditional surgical method for the repair and reconstruction of the anterior skull base. Our objective is to assess the outcomes associated with the autologous fat graft to endoscopically repair anterior skull base defects at a single tertiary care center. Methods All patients, who underwent endoscopic skull base repair utilizing abdominal free fat from September 2009 to June 2016, were included for retrospective chart review. Evaluated outcome measurements included (1) the successful closure of preoperative and intraoperative cerebrospinal fluid (CSF) leaks and (2) complications at both donor and recipient graft sites during the postoperative periods. Four representative clinical cases have additionally been selected to highlight the common indications for which the fat graft may be effective in skull base reconstruction. Results Of the 27 patients who were identified for inclusion in this review, 25 (92.6%) demonstrated successful repair of preoperative or intraoperative CSF leaks following primary skull base repair. Two patients developed recurrent CSF leaks occurring about 1 week after their primary closures, and a secondary closure rate of 96.3% was achieved with use of fat grafts. Other complications included seroma and hematoma formation at the abdominal donor sites, each occurring in 1 patient. Conclusions The use of autologous fat remains a viable option for grafting material during endoscopic skull base reconstruction. Despite the wide variety of closure techniques in skull base surgery, autologous fat provides safe and easily accessible material to repair CSF leaks.

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