Gol'bin D A, Mindlin S N
N.N. Burdenko Neurosurgical Institute, Moscow, Russia.
Sechenov First Moscow State Medical University, Moscow, Russia.
Zh Vopr Neirokhir Im N N Burdenko. 2017;81(3):77-87. doi: 10.17116/neiro201781377-87.
The purpose of this review is to analyze the techniques used to reconstruct midline defects in the anterior skull base after transcranial and endoscopic endonasal resection of skull base tumors. We provide brief information on the technique for preparing various flaps, indications and contraindications, and advantages and disadvantages. We analyze the international experience in the use of vascularized and non-vascularized flaps as well as the existing algorithms for reconstruction of complex defects of the midline structures of the skull base. The literature data demonstrate the absence of a conventional tactics of reconstructive closure of the discussed defects. To resolve this issue, a meta-analysis in combination with an original prospective study is required.
本综述的目的是分析经颅和鼻内镜下经鼻切除颅底肿瘤后重建前颅底中线缺损所采用的技术。我们提供了关于各种皮瓣制备技术、适应证和禁忌证以及优缺点的简要信息。我们分析了使用带血管蒂和不带血管蒂皮瓣的国际经验以及颅底中线结构复杂缺损重建的现有算法。文献数据表明,对于所讨论的缺损,缺乏传统的重建闭合策略。为解决这一问题,需要进行荟萃分析并结合一项原创性前瞻性研究。