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


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


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


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.


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

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