Reconstructive options for endoscopic skull base surgery

Adam M Zanation; Brian D Thorp; Priscilla Parmar; Richard J Harvey

doi:10.1016/j.otc.2011.06.016

Reconstructive options for endoscopic skull base surgery

Otolaryngol Clin North Am. 2011 Oct;44(5):1201-22. doi: 10.1016/j.otc.2011.06.016.

Authors

Adam M Zanation¹, Brian D Thorp, Priscilla Parmar, Richard J Harvey

Affiliation

¹ Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, CB 7070, Physicians Office Building Manning Drive, Chapel Hill, NC 27599, USA. adam_zanation@med.unc.edu

PMID: 21978902
DOI: 10.1016/j.otc.2011.06.016

Abstract

This review describes the sequential learning from initial free tissue grafting reconstructive techniques to the current use of vascularized flaps. Outcomes and limitations of current endoscopic reconstructive techniques are discussed, including a systematic review of the outcomes of endoscopic endonasal techniques to reconstruct large skull base defects (ESBR). The various endoscopic techniques for local and regional flaps in skull base reconstruction are described. Additionally, EMBASE (1980-December 7, 2010) and Medline (1950 - November 14, 2010) were searched using a search strategy designed to include any endoscopic endonasal reconstruction of the skull base. The manuscripts selected were subject to full text review to extract data on perioperative outcomes for ESBR. Surgical technique was used for sub-group analysis.

Publication types

Review
Systematic Review

MeSH terms

Endoscopy / methods*
Humans
Plastic Surgery Procedures / methods*
Skull Base / surgery*
Skull Base Neoplasms / surgery*
Surgical Flaps*