Reconstruction of the pedicled nasoseptal flap donor site with a contralateral reverse rotation flap: technical modifications and outcomes.

摘要: Objectives/Hypothesis A pedicled nasoseptal flap is our preferred reconstructive technique after endoscopic endonasal skull base surgery. Its harvesting implies that the donor site (septal cartilage) left bare. Secondary healing leads to crusting at negatively affects patient's quality of life and requires multiple outpatient debridements. A reverse rotation was designed eliminate this problem; however, its outcomes have not been reported. Study Design Retrospective review. Methods We retrospectively reviewed clinical charts patients who underwent surgery Wexner Medical Center The Ohio State University from November 2010 September 2012, in whom a used. We analyzed patients' demographics, pathology, regarding flap. Results Forty-nine with various pathologies were included (11 meningiomas, seven craniopharyngiomas, five pituitary macroadenomas, chondrosarcomas, meningoencephaloceles, three chordomas, 11 malignant tumors, two other lesions). There lost follow-up. Mean follow-up time weeks (range = 1–39 weeks). examination 1 2 revealed complete re-epithelialization 46 47 (97.87%). Adverse events granuloma (n = 1), anterior dehiscence excoriated mucosa (n = 1). Factors such as underlying disease, prior chemoradiotherapy, postoperative chemoradiotherapy did seem affect flap. Conclusions The provides remucosalization denuded septum, decreasing septal within first weeks, adds minimal morbidity. Level Evidence 4 Laryngoscope, 123:2601–2604, 2013