New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap
Introduction Reconstructions of clival resection are still challenging, and additional reconstructive methods may be necessary to achieve full coverage of the skull-base defect in patients with middle- and lower-clivus disease. Objective To describe a new nasopharyngeal flap for the middl...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-07-01
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| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1724094 |
| _version_ | 1818163839439470592 |
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| author | Rogério Pezato Camila Dassi Aldo Cassol Stamm Richard Louis Voegels |
| author_facet | Rogério Pezato Camila Dassi Aldo Cassol Stamm Richard Louis Voegels |
| author_sort | Rogério Pezato |
| collection | DOAJ |
| description | Introduction Reconstructions of clival resection are still challenging, and additional reconstructive methods may be necessary to achieve full coverage of the skull-base defect in patients with middle- and lower-clivus disease.
Objective To describe a new nasopharyngeal flap for the middle and lower clivus.
Methods Using nasal endoscopy in a cadaver dissection, we demonstrated a new nasopharygeal flap to cover the lower and middle clival resection.
Results We described a new nasopharyngeal flap capable of covering the lower and middle portion of the clivus.
Discussion The new nasopharyngeal flap, called the upper-tongue flap, is particularly adequate as an alternative for the reconstruction of middle and lower clivus defects, and it is better used in association with a nasalseptal flap in cases in which the nasalseptal flap alone does not provide enough mucosal coverage.
Conclusion The new nasopharyngeal flap can be used in the reconstruction of clival resection. |
| first_indexed | 2024-12-11T16:55:56Z |
| format | Article |
| id | doaj.art-9aa86a06c1e542f38b8203e5f32276fc |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-12-11T16:55:56Z |
| publishDate | 2022-07-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-9aa86a06c1e542f38b8203e5f32276fc2022-12-22T00:57:57ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642022-07-012603e467e46910.1055/s-0041-1724094New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue FlapRogério Pezato0Camila Dassi1Aldo Cassol Stamm2Richard Louis Voegels3Departament of Otorhinolaryngology and Head and Neck Surgery, Universidade Federal de São Paulo, São Paulo, SP, BrazilDepartament of Otorhinolaryngology and Head and Neck Surgery, Universidade Federal de São Paulo, São Paulo, SP, BrazilDepartament of Otorhinolaryngology and Head and Neck Surgery, Universidade Federal de São Paulo, São Paulo, SP, BrazilDepartamento of Ophthalmology and Otorhinolaryngology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilIntroduction Reconstructions of clival resection are still challenging, and additional reconstructive methods may be necessary to achieve full coverage of the skull-base defect in patients with middle- and lower-clivus disease. Objective To describe a new nasopharyngeal flap for the middle and lower clivus. Methods Using nasal endoscopy in a cadaver dissection, we demonstrated a new nasopharygeal flap to cover the lower and middle clival resection. Results We described a new nasopharyngeal flap capable of covering the lower and middle portion of the clivus. Discussion The new nasopharyngeal flap, called the upper-tongue flap, is particularly adequate as an alternative for the reconstruction of middle and lower clivus defects, and it is better used in association with a nasalseptal flap in cases in which the nasalseptal flap alone does not provide enough mucosal coverage. Conclusion The new nasopharyngeal flap can be used in the reconstruction of clival resection.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1724094nasopharynxflapnasal |
| spellingShingle | Rogério Pezato Camila Dassi Aldo Cassol Stamm Richard Louis Voegels New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap International Archives of Otorhinolaryngology nasopharynx flap nasal |
| title | New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap |
| title_full | New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap |
| title_fullStr | New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap |
| title_full_unstemmed | New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap |
| title_short | New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap |
| title_sort | new nasopharyngeal flap for posterior skull base reconstruction the upper tongue flap |
| topic | nasopharynx flap nasal |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1724094 |
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