“Parachute” Technique for Reconstruction of Small Skull Base Defects of the Ventral Skull Base

2020 ◽  
Vol 130 (12) ◽  
pp. 2791-2794
Author(s):  
Valentin Favier ◽  
Johnny Youssef ◽  
Romain Kania ◽  
Benjamin Vérillaud ◽  
Philippe Herman
Keyword(s):  
Skull Base ◽  
Ventral Skull Base ◽  
Skull Base Defects

Closure of large skull base defects after endoscopic transnasal craniotomy

2009 ◽  
Vol 111 (2) ◽  
pp. 371-379 ◽  
Author(s):  
Richard J. Harvey ◽  
João F. Nogueira ◽  
Rodney J. Schlosser ◽  
Sunil J. Patel ◽  
Eduardo Vellutini ◽  
...  
Keyword(s):  
Skull Base ◽  
Csf Leak ◽  
Dural Defect ◽  
Medical Centers ◽  
Dural Defects ◽  
Ventral Skull Base ◽  
Skull Base Defects ◽  
Reconstructive Techniques ◽  
Csf Leaks

Object The authors describe the utility of and outcomes after endoscopic transnasal craniotomy and skull reconstruction in the management of skull base pathologies. Methods The authors conducted a observational study of patients undergoing totally endoscopic, transnasal, transdural surgery. The patients included in the study underwent treatment over a 12-month period at 2 tertiary medical centers. The pathological entity, region of the ventral skull base resected, and size of the dural defect were recorded. Approach-related complications were documented, as well as CSF leaks, infections, bleeding-related complications, and any minor complications. Results Thirty consecutive patients were assessed during the study period. The patients had a mean age of 45.5 ± 20.2 years and a mean follow-up period of 182.4 ± 97.5 days. The dural defects reconstructed were as large as 5.5 cm (mean 2.49 ± 1.36 cm). One patient (3.3%) had a CSF leak that was managed endoscopically. Two patients had epistaxis that required further care, but there were no complications related to intracranial infections or bleeding. Some minor sinonasal complications occurred. Conclusions Skull base endoscopic reconstructive techniques have significantly advanced in the past decade. The use of pedicled mucosal flaps in the reconstruction of large dural defects resulting from an endoscopic transnasal craniotomy permits a robust repair. The CSF leak rate in this study is comparable to that achieved in open approaches. The ability to manage the skull base defects successfully with this approach greatly increases the utility of transnasal endoscopic surgery.

scholarly journals Outcomes of Middle Turbinate Flap in the Reconstruction of Non-tumorous Ventral Skull Base Defects - an Institutional Review

2021 ◽  
Vol 58 (4) ◽  
pp. 214-219
Author(s):  
Vinoth Manimaran ◽  
◽  
Somu Lakshmanan ◽  
Aishwarya Prateep ◽  
Ramya Baburajan ◽  
...  
Keyword(s):  
Skull Base ◽  
Middle Turbinate ◽  
Institutional Review ◽  
Ventral Skull Base ◽  
Skull Base Defects

Management of Skull Base Defects After Surgical Resection of Sinonasal and Ventral Skull Base Malignancies

2017 ◽  
Vol 50 (2) ◽  
pp. 397-417 ◽  
Author(s):  
Jean Anderson Eloy ◽  
Emily Marchiano ◽  
Alejandro Vázquez ◽  
Michael J. Pfisterer ◽  
Leila J. Mady ◽  
...  
Keyword(s):  
Skull Base ◽  
Surgical Resection ◽  
Ventral Skull Base ◽  
Skull Base Defects

Failure of Skull Base Defects Reconstruction after Endonasal Surgery. Complications, Treatment Options and Outcomes

2016 ◽  
Vol 77 (S 01) ◽  
Author(s):  
Bakhtuyar Pashaev ◽  
Valery Danilov ◽  
Gulnar Vagapova ◽  
Vladimir Bochkarev ◽  
Arseniy Pichugin ◽  
...  
Keyword(s):  
Skull Base ◽  
Treatment Options ◽  
Surgery Complications ◽  
Endonasal Surgery ◽  
Skull Base Defects

The Surgical Management of Temporal Bone and Lateral Skull Base Defects

2016 ◽  
Vol 77 (S 02) ◽  
Author(s):  
Hannah North ◽  
Simon Freeman ◽  
Scott Rutherford ◽  
Andrew King ◽  
Chorlatte Hammerbeck-Ward ◽  
...  
Keyword(s):  
Skull Base ◽  
Temporal Bone ◽  
Surgical Management ◽  
Lateral Skull Base ◽  
Skull Base Defects

Vascularized Nasal Septal Flap for Reconstruction of Skull Base Defects following Expanded Endonasal Approaches to the Skull Base: Outcome Analysis

Skull Base ◽  
2007 ◽  
Vol 17 (S 2) ◽  
Author(s):  
Allan Vescan ◽  
Ajith Thomas ◽  
Ricardo Carrau ◽  
Carl Snyderman ◽  
Daniel Prevedello ◽  
...  
Keyword(s):  
Skull Base ◽  
Outcome Analysis ◽  
Nasal Septal Flap ◽  
Skull Base Defects

Endoscopic Repair of Expanded Endonasal Skull Base Defects Using a Stable Bilayer “Button” Closure

Skull Base ◽  
2009 ◽  
Vol 19 (03) ◽  
Author(s):  
Adam Luginbuhl ◽  
James Evans ◽  
Zachary Louderback ◽  
Jared Goldfarb ◽  
Marc Rosen
Keyword(s):  
Skull Base ◽  
Endoscopic Repair ◽  
Skull Base Defects
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