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A unilateral septal flap based on the anterior ethmoidal artery (Castelnuovo's flap): CT cadaver study.
Gras-Cabrerizo, Juan R; García-Garrigós, Elena; Ademá-Alcover, Joan M; Sarandeses-Garcia, Adolfo; Martel-Martin, Maria; Montserrat-Gili, Joan R; Gras-Albert, Juan R; Massegur-Solench, Humbert.
Afiliación
  • Gras-Cabrerizo JR; Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Mas Casanova 90, 08025, Barcelona, Spain. jgras@santpau.cat.
  • García-Garrigós E; Department of Radiology, Hospital Universitario de Alicante, Universidad Miguel Hernandez, Pintor Baeza 12, 03010, Alicante, Spain.
  • Ademá-Alcover JM; Department of Otolaryngology/Head and Neck Surgery, Hospital General de Cataluña, Universitat Autònoma de Barcelona, Pedro I Pons, 1, 08915, Sant Cugat del Vallès, Spain.
  • Sarandeses-Garcia A; Department of Otolaryngology/Head and Neck Surgery, Complexo Hospitalario Universitario A Coruña, As Xubias, 84, 15006, A Coruña, Spain.
  • Martel-Martin M; Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Mas Casanova 90, 08025, Barcelona, Spain.
  • Montserrat-Gili JR; Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Mas Casanova 90, 08025, Barcelona, Spain.
  • Gras-Albert JR; Department of Otolaryngology/Head and Neck Surgery, Hospital Universitario de Alicante, Universidad Miguel Hernandez, Mas Casanova 90, 08025, Alicante, Spain.
  • Massegur-Solench H; Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Mas Casanova 90, 08025, Barcelona, Spain.
Surg Radiol Anat ; 38(6): 723-8, 2016 Aug.
Article en En | MEDLINE | ID: mdl-26740000
OBJECTIVE: We describe our experience for repair septal perforation with a septal flap and we analyse the route of the septal branch of the anterior ethmoidal artery (AEA) in the septum area with a radiological anatomy study in order to perform this flap. STUDY DESIGN: We carry out a prospective analysis with computed tomography scan in the cadaver heads and we perform an endoscopic technique in the patients. METHODS: Ten nasal cavities were analysed in five adult cadaveric heads and two patients diagnosed with anterior septal perforation were surgically treated. Measurements in the cadaveric heads were obtained from a sagittal plane of the nasal septum. The anterior point corresponds to the projection of the anterior insertion of the middle turbinate in the frontal process of the maxilla over the nasal septum. The posterior point was obtained with a vertical line passing through the entrance of the AEA in the nasal septum. RESULTS: The mean distance between the anterior point and the posterior point was 7.35 mm with a standard deviation of 0.95 mm. The lowest value was 5.5 mm and the highest value was 8.7 mm. We observed good epithelialisation and closure of the perforation in all patients. CONCLUSION: The unilateral septal flap pedicle by anterior ethmoidal artery may be used for small and medium perforations with a pedicle smaller than 1 cm posterior to the axilla.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteria Oftálmica / Colgajos Quirúrgicos / Senos Etmoidales / Perforación del Tabique Nasal / Cavidad Nasal / Tabique Nasal Tipo de estudio: Evaluation_studies / Observational_studies Límite: Adult / Humans / Male Idioma: En Revista: Surg Radiol Anat Asunto de la revista: ANATOMIA / RADIOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: España Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteria Oftálmica / Colgajos Quirúrgicos / Senos Etmoidales / Perforación del Tabique Nasal / Cavidad Nasal / Tabique Nasal Tipo de estudio: Evaluation_studies / Observational_studies Límite: Adult / Humans / Male Idioma: En Revista: Surg Radiol Anat Asunto de la revista: ANATOMIA / RADIOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: España Pais de publicación: Alemania