Reconstructive options for endoscopic skull base surgery

Adam M. Zanation*, Brian D. Thorp, Priscilla Parmar, Richard J. Harvey

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    46 Citations (Scopus)

    Abstract

    This review describes the sequential learning from initial free tissue grafting reconstructive techniques to the current use of vascularized flaps. Outcomes and limitations of current endoscopic reconstructive techniques are discussed, including a systematic review of the outcomes of endoscopic endonasal techniques to reconstruct large skull base defects (ESBR). The various endoscopic techniques for local and regional flaps in skull base reconstruction are described. Additionally, EMBASE (1980-December 7, 2010) and Medline (1950 - November 14, 2010) were searched using a search strategy designed to include any endoscopic endonasal reconstruction of the skull base. The manuscripts selected were subject to full text review to extract data on perioperative outcomes for ESBR. Surgical technique was used for sub-group analysis.

    Original languageEnglish
    Pages (from-to)1201-1222
    Number of pages23
    JournalOtolaryngologic Clinics of North America
    Volume44
    Issue number5
    DOIs
    Publication statusPublished - Oct 2011

    Keywords

    • Reconstruction
    • Nasoseptal Flap
    • Endoscopic
    • Endonasal
    • Skull Base
    • Septal
    • Septum
    • Local flap

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