Division of Neurosurgery, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale Di Circolo E Fondazione Macchi, 21100, Varese, Italy.
Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale Di Circolo E Fondazione Macchi, 21100, Varese, Italy.
Acta Neurochir (Wien). 2024 Feb 22;166(1):99. doi: 10.1007/s00701-024-06003-3.
To treat extradural solid-cystic lesions of the ventral skull base, a pedicled nasoseptal flap (NSF) maintains patency of the marsupialized cavity and prevents restenosis and cyst recurrence.
The authors provide a step-by-step description of the surgical technique valid in different lesions of the skull base, all treated via the endoscopic endonasal approach (EEA). The application is demonstrated by an operative video.
In selected lesions, endoscopic marsupialization using an NSF ensures drainage and ventilation of the surgical cavity. Re-epithelialization provided by a pedicled flap is a viable alternative to multilayer skull base reconstruction.
为了治疗颅底腹侧硬膜外囊性病变，带蒂鼻中隔鼻瓣（NSF）可保持经皮切开术腔的通畅，防止再狭窄和囊肿复发。
作者提供了一种分步描述的手术技术，适用于通过内镜经鼻入路（EEA）治疗的不同颅底病变。该应用通过手术视频进行演示。
在选择的病变中，使用 NSF 的内镜经皮切开术可确保手术腔的引流和通气。带蒂皮瓣提供的再上皮化是多层颅底重建的可行替代方案。
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