A simple and versatile tissue adhesive applicator for endonasal endoscopic skull base surgery

Repair of dural defects following endonasal endoscopic cranial base surgery remains a challenge. A variety of reconstructive techniques have been described, many of which utilize tissue adhesives or glues. One of the main difficulties with the endonasal use of these sealants is the available applicators, which often result in the imprecise and excessive application of the material. In this report, we describe the modified use of straight and curved suction tips as simple and versatile rigid tissue adhesive/glue applicators for use during endonasal skull base surgery.