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Endoscopic Skull Base Reconstruction: An Evolution of Materials and Methods
Aaron C Sigler1, Brian D'Anza2, Brian C Lobo3
1Tulane Center for Clinical Neurosciences, Department of Neurosurgery, 131 S. Robertson St., Ste 1300, New Orleans, LA 70112, USA.
Otolaryngologic Clinics of North America
|April 5, 2017
Summary
Endoscopic skull base surgery relies on advanced repair techniques. This review guides selection of methods like flaps and grafts for successful reconstruction and reduced patient morbidity.
Area of Science:
- Neurosurgery
- Otolaryngology
- Head and Neck Surgery
Background:
- Endoscopic skull base surgery has advanced significantly due to improved endoscopic repair techniques.
- A variety of reconstruction methods are now available, offering diverse solutions for complex defects.
Purpose of the Study:
- To review current endoscopic repair technologies and techniques for skull base reconstruction.
- To provide a systematic framework for selecting appropriate repair methods based on defect characteristics.
Main Methods:
- Review of available technologies including vascularized/nonvascularized flaps, synthetic grafts, sealants, glues.
- Presentation of a graduated approach to skull base reconstruction.
- Discussion of circumstances dictating the choice of repair method.
Main Results:
- Comprehensive overview of diverse endoscopic repair options.
- Emphasis on the importance of understanding the nuances of each technique.
- A structured, graduated approach facilitates informed decision-making.
Conclusions:
- Successful endoscopic skull base reconstruction hinges on judicious selection of repair techniques.
- A systematic, graduated approach minimizes patient morbidity while maximizing surgical outcomes.
- Continued advancements in endoscopic repair are crucial for the field's progress.