Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 4 Issue 7

Skull Base Reconstruction with Bipedicle Middle Turbinate Flap

Carlos Santiago Ruggeri*

Chief of Rhinosinusology and Skull Base Section of ENT Department of Italian Hospital, Buenos Aires, Argentina

*Corresponding Author: Carlos Santiago Ruggeri, Chief of Rhinosinusology and Skull Base Section of ENT Department of Italian Hospital, Buenos Aires, Argentina.

Received: June 01, 2022; Published: June 21, 2022

Abstract

Anterior skull base repair with flaps has a high success rate.

The bipedicle middle turbinate flap has a double irrigation that comes from the middle turbinal branch originating from the posterolateronasal artery and from branches of the ethmoid arteries, which increases the security of the flap.

Objective: To determine the efficacy of the bipedicle middle turbinate rotary flap to repair lateral and medial defects of the anterior skull base.

Material and Method: Through the review of the electronic medical records, the patients who had defects at the anterior skull base, and who were reconstructed with a bipedicle middle turbinate rotary flap were selected. The surgeries were performed between June 2018 to October 2020.

Results: Four reconstructions of the anterior skull base were made with a bipedicle rotary mucoperiosteal flap of the middle turbinate. The defects were small or medium (<3 cm) and were located on the ethmoid roof (3/4) and in the frontal sinus (1/4).

The success rate of the reconstructions was 100%.

Conclusions: The bipedicle middle turbinate flap with medial or lateral rotation is an effective, fast and simple technique to repair small or medium defects, located at the anterior skull base.

Keywords: Middle Turbinate; Flap; Skull Base; Cerebrospinal Fluid Fistula

References

  1. Hadad G., et al. “A Novel Reconstructive Technique after Endoscopic Expanded Endonasal Approaches: vascular pedicle nasoseptal flap”. Laryngoscope 116 (2006): 1882-1886.
  2. Castelnuovo P., et al. “Dural Reconstruction (Chapter 13) 284-296, in Endonasal Endoscopic Surgery of Skull Base Tumors: An Interdisciplinary Approach”. Thieme (2015).
  3. Prevedello D., et al. “Middle Turbinate Flap for Skull Base Reconstruction: Cadaveric Feasibility Study”. Laryngoscope 119 (2009): 2094-2098.
  4. Schreiber A., et al. “The turbinal flap: an additional option for anterior skull base reconstruction. Cadaveric feasibility study and case report”. International Forum of Allergy and Rhinology (2016): 1-6.
  5. MacArthur F and McGarry G. “The arterial supply of the nasal cavity”. European Archives of Otorhinolaryngology 274 (2017): 809-815.
  6. Xuejian WANG., et al. “Middle Turbinate Mucosal Flap in Endoscopic Skull Base Reconstruction”. Turkish Neurosurgery (2016): 1-5.
  7. Ryota Tamura., et al. “Vascularized middle turbinate flap for the endoscopic endonasal reconstruction of the anterior olfactory groove”. Neurosurgical Review 39 (2016): 297-302.
  8. Perez-Pinas I., et al. “Anatomical variations in the human paranasal sinus region studied by CT”. Journal of Anatomy 197 (2000): 221-227.
  9. Shibu G and Sandeep S. “Vascularized middle turbinate mucoperiosteal flap in skull base defects: follow-up analysis of 20 cases”. International Journal of Otorhinolaryngology and Head and Neck Surgery 1 (2017): 71-76.
  10. Simal J., et al. “Middle turbinate vascularized flap for skull base reconstruction after an expanded endonasal approach”. Acta Neurochirurgica 153 (2011): 1827-1832.

Citation

Citation: Carlos Santiago Ruggeri. “Skull Base Reconstruction with Bipedicle Middle Turbinate Flap".Acta Scientific Otolaryngology 4.7 (2022): 65-69.

Copyright

Copyright: © 2022 Carlos Santiago Ruggeri. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In







News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is September 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US