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Marsupialization as an alternative to reconstruction in endoscopic skull base surgery. How I do it.
Ferlendis, Luca; Bossi, Bianca; Castelnuovo, Paolo; Locatelli, Davide.
Afiliación
  • Ferlendis L; Division of Neurosurgery, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale Di Circolo E Fondazione Macchi, 21100, Varese, Italy. luca.ferlendis@gmail.com.
  • Bossi B; Division of Neurosurgery, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale Di Circolo E Fondazione Macchi, 21100, Varese, Italy.
  • Castelnuovo P; Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale Di Circolo E Fondazione Macchi, 21100, Varese, Italy.
  • Locatelli D; Division of Neurosurgery, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale Di Circolo E Fondazione Macchi, 21100, Varese, Italy.
Acta Neurochir (Wien) ; 166(1): 99, 2024 Feb 22.
Article en En | MEDLINE | ID: mdl-38388836
ABSTRACT

BACKGROUND:

To treat extradural solid-cystic lesions of the ventral skull base, a pedicled nasoseptal flap (NSF) maintains patency of the marsupialized cavity and prevents restenosis and cyst recurrence.

METHODS:

The authors provide a step-by-step description of the surgical technique valid in different lesions of the skull base, all treated via the endoscopic endonasal approach (EEA). The application is demonstrated by an operative video.

CONCLUSION:

In selected lesions, endoscopic marsupialization using an NSF ensures drainage and ventilation of the surgical cavity. Re-epithelialization provided by a pedicled flap is a viable alternative to multilayer skull base reconstruction.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos de Cirugía Plástica Límite: Humans Idioma: En Revista: Acta Neurochir (Wien) Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Austria

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos de Cirugía Plástica Límite: Humans Idioma: En Revista: Acta Neurochir (Wien) Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Austria