Your browser doesn't support javascript.
loading
Pediatric nasoseptal flap reconstruction for suprasellar approaches.
Ghosh, Ankona; Hatten, Kyle; Learned, Kim O; Rizzi, Mark D; Lee, John Y; Storm, Phillip B; Palmer, James N; Adappa, Nithin D.
Afiliación
  • Ghosh A; Department of Otorhinolaryngology-Head and Neck Surgery.
  • Hatten K; Department of Otorhinolaryngology-Head and Neck Surgery.
  • Learned KO; Department of Radiology-Neuroradiology.
  • Rizzi MD; Department of Otorhinolaryngology-Head and Neck Surgery.
  • Lee JY; Department of Neurosurgery, The University of Pennsylvania, Philadelphia, Pennsylvania.
  • Storm PB; Department of Neurosurgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.
  • Palmer JN; Department of Otorhinolaryngology-Head and Neck Surgery.
  • Adappa ND; Department of Otorhinolaryngology-Head and Neck Surgery.
Laryngoscope ; 125(11): 2451-6, 2015 Nov.
Article en En | MEDLINE | ID: mdl-26016422
OBJECTIVES/HYPOTHESIS: To determine the pediatric age groups viable for nasoseptal flap (NSF) reconstruction of endoscopic endonasal approaches (EEA) to intracranial pathology of suprasella neoplasms. STUDY DESIGN: Retrospective cohort study. METHODS: Retrospective review of 16 pediatric patients who underwent EEA with NSF reconstruction for a suprasellar defect from 2012 to 2014. Radioanatomic analysis was utilized to assess feasibility of NSF reconstruction of suprasellar neoplasms approached via EEA. Computed tomography (CT) measurements for defect size and potential flap coverage were measured by preoperative maxillofacial CT. Radiographic measurements and surgical outcomes were compared to determine if flap size would be sufficient to cover said defects in two pediatric age groups: those>10 years of age (mean age 14 years) and those<10 years (mean age 6 years). RESULTS: Of all patients encountered in this cohort, one postoperative cerebrospinal fluid leak was identified in the >10 years of age population, and this was not due to insufficient flap coverage. Average potential flap length and width are sufficient to cover average suprasellar defect length and width in both age groups (P<.05 in all age groups). CONCLUSIONS: Patient selection is critical for successful pediatric EEA. Preoperative radiographic assessment of NSF feasibility is a critical to ensure adequate flap coverage for suprasellar defects. NSF appears to provide a sufficient and reliable coverage option in reconstruction of suprasellar defects in pediatric patients. LEVEL OF EVIDENCE: 4.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colgajos Quirúrgicos / Tabique Nasal Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Humans Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colgajos Quirúrgicos / Tabique Nasal Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Humans Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos