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Pedicle Flaps Contribute to Endoscopic Skull-Base Surgery and Facial Soft-Tissue Repair: The Diuturnity of Johannes
Richard A Pollock1,2, M Douglas Gossman3
1Lancaster Regional Medical Center, Lancaster, Pennsylvania.
Abstract:
Pedicle flaps based on the external maxillary (facial) artery were introduced during the World War I, precisely a century ago. Today they remain effective tools in facial soft-tissue repair. Recently, pedicle flaps based on the internal maxillary (sphenopalatine) artery have been chosen to reliably close dural defects after endoscopic skull-base surgery. Pedicle flaps, "biologic" to the extent they are based on a defined arterial blood supply, are the lasting contributions-the diuturnity-of Johannes ("Jan") Fredericus Samuel Esser (1877-1946) of Leiden, Holland, and Chicago (IL).
