Panorama of Reconstruction of Skull Base Defects: From Traditional Open to Endonasal Endoscopic Approaches, from Free Grafts to Microvascular Flaps
Abstract Introduction A substantial body of literature has been devoted to the distinct characteristics and surgical options to repair the skull base. However, the skull base is an anatomically challenging location that requires a three-dimensional reconstruction approach. Furthermore,...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2014-10-01
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| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1395268 |
| _version_ | 1819043524450975744 |
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| author | Camilo Reyes Eric Mason C. Arturo Solares |
| author_facet | Camilo Reyes Eric Mason C. Arturo Solares |
| author_sort | Camilo Reyes |
| collection | DOAJ |
| description | Abstract
Introduction A substantial body of literature has been devoted to the distinct characteristics and surgical options to repair the skull base. However, the skull base is an anatomically challenging location that requires a three-dimensional reconstruction approach. Furthermore, advances in endoscopic skull base surgery encompass a wide range of surgical pathology, from benign tumors to sinonasal cancer. This has resulted in the creation of wide defects that yield a new challenge in skull base reconstruction. Progress in technology and imaging has made this approach an internationally accepted method to repair these defects.
Objectives Discuss historical developments and flaps available for skull base reconstruction.
Data Synthesis Free grafts in skull base reconstruction are a viable option in small defects and low-flow leaks. Vascularized flaps pose a distinct advantage in large defects and high-flow leaks. When open techniques are used, free flap reconstruction techniques are often necessary to repair large entry wound defects.
Conclusions Reconstruction of skull base defects requires a thorough knowledge of surgical anatomy, disease, and patient risk factors associated with high-flow cerebrospinal fluid leaks. Various reconstruction techniques are available, from free tissue grafting to vascularized flaps. Possible complications that can befall after these procedures need to be considered. Although endonasal techniques are being used with increasing frequency, open techniques are still necessary in selected cases. |
| first_indexed | 2024-12-21T09:58:09Z |
| format | Article |
| id | doaj.art-bc1728c776c146699199d0e860797031 |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-12-21T09:58:09Z |
| publishDate | 2014-10-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-bc1728c776c146699199d0e8607970312022-12-21T19:08:01ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642014-10-0118S179S18610.1055/s-0034-1395268Panorama of Reconstruction of Skull Base Defects: From Traditional Open to Endonasal Endoscopic Approaches, from Free Grafts to Microvascular FlapsCamilo Reyes0Eric Mason1C. Arturo Solares2Department of Otolaryngology, Georgia Regents University, Augusta, Georgia, United StatesDepartment of Otolaryngology, Georgia Regents University, Augusta, Georgia, United StatesDepartment of Otolaryngology, Georgia Regents University, Augusta, Georgia, United StatesAbstract Introduction A substantial body of literature has been devoted to the distinct characteristics and surgical options to repair the skull base. However, the skull base is an anatomically challenging location that requires a three-dimensional reconstruction approach. Furthermore, advances in endoscopic skull base surgery encompass a wide range of surgical pathology, from benign tumors to sinonasal cancer. This has resulted in the creation of wide defects that yield a new challenge in skull base reconstruction. Progress in technology and imaging has made this approach an internationally accepted method to repair these defects. Objectives Discuss historical developments and flaps available for skull base reconstruction. Data Synthesis Free grafts in skull base reconstruction are a viable option in small defects and low-flow leaks. Vascularized flaps pose a distinct advantage in large defects and high-flow leaks. When open techniques are used, free flap reconstruction techniques are often necessary to repair large entry wound defects. Conclusions Reconstruction of skull base defects requires a thorough knowledge of surgical anatomy, disease, and patient risk factors associated with high-flow cerebrospinal fluid leaks. Various reconstruction techniques are available, from free tissue grafting to vascularized flaps. Possible complications that can befall after these procedures need to be considered. Although endonasal techniques are being used with increasing frequency, open techniques are still necessary in selected cases.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1395268skull basecerebrospinal fluid leakdurareconstructionendoscopic surgerypedicled flaps |
| spellingShingle | Camilo Reyes Eric Mason C. Arturo Solares Panorama of Reconstruction of Skull Base Defects: From Traditional Open to Endonasal Endoscopic Approaches, from Free Grafts to Microvascular Flaps International Archives of Otorhinolaryngology skull base cerebrospinal fluid leak dura reconstruction endoscopic surgery pedicled flaps |
| title | Panorama of Reconstruction of Skull Base Defects: From Traditional Open to Endonasal Endoscopic Approaches, from Free Grafts to Microvascular Flaps |
| title_full | Panorama of Reconstruction of Skull Base Defects: From Traditional Open to Endonasal Endoscopic Approaches, from Free Grafts to Microvascular Flaps |
| title_fullStr | Panorama of Reconstruction of Skull Base Defects: From Traditional Open to Endonasal Endoscopic Approaches, from Free Grafts to Microvascular Flaps |
| title_full_unstemmed | Panorama of Reconstruction of Skull Base Defects: From Traditional Open to Endonasal Endoscopic Approaches, from Free Grafts to Microvascular Flaps |
| title_short | Panorama of Reconstruction of Skull Base Defects: From Traditional Open to Endonasal Endoscopic Approaches, from Free Grafts to Microvascular Flaps |
| title_sort | panorama of reconstruction of skull base defects from traditional open to endonasal endoscopic approaches from free grafts to microvascular flaps |
| topic | skull base cerebrospinal fluid leak dura reconstruction endoscopic surgery pedicled flaps |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1395268 |
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