Carregant...
Fitxers
Tipus de document
ArticleVersió
Versió publicadaData de publicació
Llicència de publicació
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/215057
Management of anterior skull base defect depending on its size and location.
Títol de la revista
Director/Tutor
ISSN de la revista
Títol del volum
Recurs relacionat
Resum
Introduction: We present our experience in the reconstruction of these leaks depending on their size and location. Material and methods: Fifty-four patients who underwent advanced skull base surgery (large defects, >20 mm) and 62 patients with CSF leaks of different origin (small, 2-10 mm, and midsize, 11-20 mm, defects) were included in the retrospective study. Large defects were reconstructed with a nasoseptal pedicled flap positioned on fat and fascia lata. In small and midsized leaks. Fascia lata in an underlay position was used for its reconstruction covered with mucoperiosteum of either the middle or the inferior turbinate. Results: The most frequent etiology for small and midsized defects was spontaneous (48.4%), followed by trauma (24.2%), iatrogenic (5%). The success rate after the first surgical reconstruction was 91% and 98% in large skull base defects and small/midsized, respectively. Rescue surgery achieved 100%. Conclusions: Endoscopic surgery for any type of skull base defect is the gold standard. The size of the defects does not seem to play a significant role in the success rate. Fascia lata and mucoperiosteum of the turbinate allow a two-layer reconstruction of small and midsized defects. For larger skull base defects, a combination of fat, fascia lata, and nasoseptal pedicled flaps provides a successful reconstruction.
Matèries (anglès)
Citació
Citació
BERNAL SPREKELSEN, Manuel, RIOJA, Elena, ENSEÑAT NORA, Joaquim, ENRIQUEZ, Karla, VISCOVICH, Liza, AGREDO-LEMOS, Freddy enrique, ALOBID, Isam. Management of anterior skull base defect depending on its size and location.. _BioMed Research International_. 2014. Vol. 2014, núm. 1-7. [consulta: 25 de gener de 2026]. ISSN: 2314-6133. [Disponible a: https://hdl.handle.net/2445/215057]