![](/images/graphics-bg.png)
Management of Anterior Skull Base Defect Depending on Its Size and Location
Joint Authors
Enriquez, Karla
Agredo-Lemos, Freddy Enrique
Alobid, Isam
Enseñat, Joaquim
Rioja, Elena
Viscovich, Liza
Bernal-Sprekelsen, Manuel
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-05-07
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
We present our experience in the reconstruction of these leaks depending on their size and location.
Material and Methods.
Fifty-four patients who underwent advanced skull base surgery (large defects, >20 mm) and 62 patients with CSF leaks of different origin (small, 2–10 mm, and midsize, 11–20 mm, defects) were included in the retrospective study.
Large defects were reconstructed with a nasoseptal pedicled flap positioned on fat and fascia lata.
In small and midsized leaks.
Fascia lata in an underlay position was used for its reconstruction covered with mucoperiosteum of either the middle or the inferior turbinate.
Results.
The most frequent etiology for small and midsized defects was spontaneous (48.4%), followed by trauma (24.2%), iatrogenic (5%).
The success rate after the first surgical reconstruction was 91% and 98% in large skull base defects and small/midsized, respectively.
Rescue surgery achieved 100%.
Conclusions.
Endoscopic surgery for any type of skull base defect is the gold standard.
The size of the defects does not seem to play a significant role in the success rate.
Fascia lata and mucoperiosteum of the turbinate allow a two-layer reconstruction of small and midsized defects.
For larger skull base defects, a combination of fat, fascia lata, and nasoseptal pedicled flaps provides a successful reconstruction.
American Psychological Association (APA)
Bernal-Sprekelsen, Manuel& Rioja, Elena& Enseñat, Joaquim& Enriquez, Karla& Viscovich, Liza& Agredo-Lemos, Freddy Enrique…[et al.]. 2014. Management of Anterior Skull Base Defect Depending on Its Size and Location. BioMed Research International،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-464601
Modern Language Association (MLA)
Bernal-Sprekelsen, Manuel…[et al.]. Management of Anterior Skull Base Defect Depending on Its Size and Location. BioMed Research International No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-464601
American Medical Association (AMA)
Bernal-Sprekelsen, Manuel& Rioja, Elena& Enseñat, Joaquim& Enriquez, Karla& Viscovich, Liza& Agredo-Lemos, Freddy Enrique…[et al.]. Management of Anterior Skull Base Defect Depending on Its Size and Location. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-464601
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-464601