Reconstruction of a skull base defect after endoscopic endonasal resection of a pituitary adenoma: Sphenoid mucosal flaps

Erden Goljo, Eliezer Kinberg*, Katelyn Stepan, Jill K. Gregory, Alfred M. Iloreta, Satish Govindaraj, Hongyan Zou

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

This report describes a bilateral sphenoid sinus mucosal flap for the repair of a sellar floor defect and CSF leak following endoscopic endonasal skull base surgery. The key advantage of this technique is enabling the sphenoid mucosal flaps to remain vascularized, which reduces postoperative complications including CSF leakage, recurrent sinusitis, meningitis, encephalitis and pneumocephalus. The use of this technique is a viable and possibly favorable alternative to free grafts in the reconstruction of small to medium sized sellar defects with low flow or absent CSF leaks base surgery.

Original languageEnglish (US)
Pages (from-to)253-256
Number of pages4
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume39
Issue number2
DOIs
StatePublished - Mar 1 2018
Externally publishedYes

Keywords

  • Endoscopy
  • Pituitary neoplasms
  • Reconstructive surgical procedures
  • Skull base
  • Sphenoid sinus

ASJC Scopus subject areas

  • Otorhinolaryngology

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