Hidden Port Approach to Endoscopic Pericranial Scalp Flap for Anterior Skull Base Reconstruction

2021 ◽  
Author(s):  
Alfredo García‐Fernández ◽  
Esther García‐González ◽  
Igor Paredes‐Sansinenea ◽  
Víctor Rodríguez‐Berrocal ◽  
José Fernández‐Alén ◽  
...  
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Skull Base Reconstruction ◽  
Scalp Flap

Use of the external pectoralis myocutaneous major flap in anterior skull base reconstruction

2013 ◽  
Vol 42 (4) ◽  
pp. 453-457 ◽  
Author(s):  
Natacha Kadlub ◽  
Joseph H. Shin ◽  
Doug A. Ross ◽  
T. Della Torre ◽  
Edward Ansari ◽  
...  
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Skull Base Reconstruction

Combined endoscopy-assisted cranionasal approach for resection of infantile myofibromatosis of the ethmoid and anterior skull base

2008 ◽  
Vol 2 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Ercole Galassi ◽  
Ernesto Pasquini ◽  
Giorgio Frank ◽  
Gianluca Marucci
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Radical Resection ◽  
Permanent Tooth ◽  
Anterior Skull Base ◽  
Facial Growth ◽  
Endoscopic Endonasal ◽  
Skull Base Reconstruction ◽  
Endoscopic Techniques ◽  
Tooth Roots

The advent and widespread development of endonasal endoscopic techniques have recently expanded the frontiers of skull base surgery. The reduced invasiveness, wider and adjustable visualization of the operative field, and lack of postoperative cosmetic defects are well-known advantages of the endonasal endoscopic approaches compared with traditional surgical exposures both in adults and in children. The need to avoid disruption of facial growth centers and permanent tooth roots represents a further special consideration in favor of these endoscopic techniques in children. The authors report on a case of solitary myofibroma involving the ethmoid, mesial orbits, and anterior skull base with intracranial intradural expansion in a 17-month-old girl. The occurrence of such proliferative disease along the skull base is exceedingly rare. The tumor was successfully excised via an endoscopy-assisted cranionasal approach in which a transcranial microsurgical exposure was combined with endonasal endoscopic access to ensure a radical resection and optimize skull base reconstruction. To the authors' knowledge, the patient in this case is the youngest reported patient in the literature who has undergone treatment with this surgical strategy. The outcome in this patient underscores the feasibility and safety of endoscopic endonasal surgery even in toddlers and early childhood.

Janus flap: Bilateral nasoseptal flaps for anterior skull base reconstruction

2010 ◽  
Vol 142 (3) ◽  
pp. 327-331 ◽  
Author(s):  
Gurston G. Nyquist ◽  
Vijay K. Anand ◽  
Ameet Singh ◽  
Theodore H. Schwartz
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Skull Base Reconstruction

Planning of Anterior Skull Base Reconstruction Aided by Presurgically Computer-Generated Models

2015 ◽  
pp. 609-612
Author(s):  
Ch. Mohr ◽  
V. Seifert ◽  
D. Stolke ◽  
K. Sievers ◽  
D. Schettler
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Skull Base Reconstruction

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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