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Anania, Pasquale, Ceraudo, Marco, Prior, Alessandro, Fiaschi, Pietro, Zona, Gianluigi, Canevari, Frank, Criminelli Rossi, Diego. (1400). Ipsilateral Nasoseptal Flap Pedicle for Transpterygoid Approach: Technical Note. , 33(6), 361-367. doi: 10.22038/ijorl.2021.54687.2866
Pasquale Anania; Marco Ceraudo; Alessandro Prior; Pietro Fiaschi; Gianluigi Zona; Frank Rikki Canevari; Diego Criminelli Rossi. "Ipsilateral Nasoseptal Flap Pedicle for Transpterygoid Approach: Technical Note". , 33, 6, 1400, 361-367. doi: 10.22038/ijorl.2021.54687.2866
Anania, Pasquale, Ceraudo, Marco, Prior, Alessandro, Fiaschi, Pietro, Zona, Gianluigi, Canevari, Frank, Criminelli Rossi, Diego. (1400). 'Ipsilateral Nasoseptal Flap Pedicle for Transpterygoid Approach: Technical Note', , 33(6), pp. 361-367. doi: 10.22038/ijorl.2021.54687.2866
Anania, Pasquale, Ceraudo, Marco, Prior, Alessandro, Fiaschi, Pietro, Zona, Gianluigi, Canevari, Frank, Criminelli Rossi, Diego. Ipsilateral Nasoseptal Flap Pedicle for Transpterygoid Approach: Technical Note. , 1400; 33(6): 361-367. doi: 10.22038/ijorl.2021.54687.2866

Ipsilateral Nasoseptal Flap Pedicle for Transpterygoid Approach: Technical Note

Iranian Journal of Otorhinolaryngology
مقاله 4، دوره 33، شماره 6، بهمن و اسفند 2021، صفحه 361-367    اصل مقاله (777.01 K)
نوع مقاله: Original
شناسه دیجیتال (DOI): 10.22038/ijorl.2021.54687.2866
نویسندگان
Pasquale Anania1؛ Marco Ceraudo* 1؛ Alessandro Prior1؛ Pietro Fiaschi2؛ Gianluigi Zona1؛ Frank Rikki Canevari3؛ Diego Criminelli Rossi1
1Department of Neurosurgery, Policlinico San Martino Hospital, IRCCS for Oncology and Neuroscience, Genoa, Italy.
2Department of Neurosurgery, Policlinico San Martino Hospital, IRCCS for Oncology and Neuroscience, Genoa, Italy. and Department of Neurosciences, Rehabilitation, Ophtalmology, Genetics, Maternal and Children(DINOGMI), University of Genoa, Genoa, Italy
3Department of Otorhinolaryngology-Head and Neck Surgery, University of Genoa, Genoa, Italy.
چکیده
Introduction:
Transpterygoid approach is an expanded endonasal approach (EEA) that allows surgical access to the medial infratemporal fossa, to the skull base area of petrous bone and to the Meckel’s cave. During this approach, a sacrifice of sphenopalatine artery is often required, leading to the need of contralateral Hadad-Bassagasteguy flap (HBF) or alternative reconstructive techniques.
 
Materials and Methods:
We report a case of spontaneous CSF leak due to a meningo-encephalocele in the left lateral recess of sphenoid sinus, in which an ispilateral nasoseptal flap was harvest and sphenopalatine artery was preserved.
 
Results:
We described the surgical technique adopted to preserve the ipsilateral nasoseptal vascular pedicle during transpterygoid approach and we performed a review of the pertinent literature.
Conclusion:
Wide exposure of the pterygoid base through transpterygoid approach could be obtained preserving the sphenopalatine artery, allowing skull base reconstruction with ipsilateral nasoseptal flap.
کلیدواژه‌ها
Endoscopy؛ Endonasal؛ Ipsilateral؛ Nasoseptal؛ Reconstruction؛ Skull base؛ Transpterygoid
مراجع
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آمار
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