Ipsilateral Nasoseptal Flap Pedicle for Transpterygoid Approach: Technical Note

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Anania Pasquale; Ceraudo Marco; Prior Alessandro; Fiaschi Pietro; Zona Gianluigi; Canevari Frank Rikki; Rossi Diego Criminelli

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Journal Paper

Paper Information

Journal: IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY Year:2021 | Volume:33 | Issue:6 (119) Page(s): 361-367

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Information Journal Paper

Title

Ipsilateral Nasoseptal Flap Pedicle for Transpterygoid Approach: Technical Note

Author(s)

Keywords

Endoscopy

Endonasal

Ipsilateral

Nasoseptal

Reconstruction

Skull base

Transpterygoid

Abstract

Introduction: Transpterygoid approach is an expanded Endonasal approach (EEA) that allows surgical access to the medial infratemporal fossa, to the Skull base area of petrous bone and to the Meckel’, s cave. During this approach, a sacrifice of sphenopalatine artery is often required, leading to the need of contralateral Hadad-Bassagasteguy flap (HBF) or alternative reconstructive techniques. Materials and Methods: We report a case of spontaneous CSF leak due to a meningo-encephalocele in the left lateral recess of sphenoid sinus, in which an ispilateral Nasoseptal flap was harvest and sphenopalatine artery was preserved. Results: We described the surgical technique adopted to preserve the Ipsilateral Nasoseptal vascular pedicle during Transpterygoid approach and we performed a review of the pertinent literature. Conclusion: Wide exposure of the pterygoid base through Transpterygoid approach could be obtained preserving the sphenopalatine artery, allowing Skull base Reconstruction with Ipsilateral Nasoseptal flap.

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APA: Copy

Anania, Pasquale, Ceraudo, Marco, Prior, Alessandro, Fiaschi, Pietro, Zona, Gianluigi, Canevari, Frank Rikki, & Rossi, Diego Criminelli. (2021). Ipsilateral Nasoseptal Flap Pedicle for Transpterygoid Approach: Technical Note. IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY, 33(6 (119)), 361-367. SID. https://sid.ir/paper/1033728/en

Vancouver: Copy

Anania Pasquale, Ceraudo Marco, Prior Alessandro, Fiaschi Pietro, Zona Gianluigi, Canevari Frank Rikki, Rossi Diego Criminelli. Ipsilateral Nasoseptal Flap Pedicle for Transpterygoid Approach: Technical Note. IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY[Internet]. 2021;33(6 (119)):361-367. Available from: https://sid.ir/paper/1033728/en

IEEE: Copy

Pasquale Anania, Marco Ceraudo, Alessandro Prior, Pietro Fiaschi, Gianluigi Zona, Frank Rikki Canevari, and Diego Criminelli Rossi, “Ipsilateral Nasoseptal Flap Pedicle for Transpterygoid Approach: Technical Note,” IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY, vol. 33, no. 6 (119), pp. 361–367, 2021, [Online]. Available: https://sid.ir/paper/1033728/en

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