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

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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.