Department of Otorhinolaryngology - Head and Neck Surgery, Son Espases University Hospital, Palma de Mallorca, Spain.
Department of Neurosurgery, Son Espases University Hospital, Palma de Mallorca, Spain.
Head Neck. 2021 May;43(5):1415-1420. doi: 10.1002/hed.26613. Epub 2021 Jan 12.
To describe the low morbidity of middle turbinate mucosal flap (MTMF) to repair anterior skull base defects.
Skull base endonasal endoscopic surgeries performed at a tertiary hospital between 2015 and 2018 were analyzed. Patients were divided into two groups according the existence or not of a significant intraoperative cerebrospinal fluid (CSF) leak. In Group 1 (n = 28), gasket seal and a pedicled endonasal flap were used to repair the defect: 13 nasoseptal flaps (NSF), 8 inferolateral wall flaps (ILF), and 7 MTMF. In Group 2 only an endonasal flap was used: 9 NSF, 4 ILF, and 18 MTMF. Surgical and recovery time were analyzed (Student's t test). Our favorite surgical technique is described.
Fifty-nine patients were included. Average surgical time was 27.7, 41.6, and 11.3 min for NSF, ILF, and MTMF, respectively. MTMF showed a faster recovery.
MTMF is a safe reconstructive option for anterior skull base defects.
描述中鼻甲黏膜瓣（MTMF）修复前颅底缺损的低发病率。
分析了 2015 年至 2018 年在一家三级医院进行的颅底鼻内镜手术。根据术中是否存在明显的脑脊液（CSF）漏，将患者分为两组。在第 1 组（n=28）中，使用垫圈密封和带蒂的鼻内瓣修复缺损：13 个鼻中隔瓣（NSF）、8 个下外侧壁瓣（ILF）和 7 个 MTMF。在第 2 组中，仅使用鼻内瓣：9 个 NSF、4 个 ILF 和 18 个 MTMF。分析了手术和恢复时间（Student's t 检验）。我们描述了最喜欢的手术技术。
59 例患者纳入研究。NSF、ILF 和 MTMF 的平均手术时间分别为 27.7、41.6 和 11.3 分钟。MTMF 恢复更快。
MTMF 是修复前颅底缺损的安全重建选择。
