Skull Base Reconstruction by Subsite after Sinonasal Malignancy Resection.

Area of Science:

• Otolaryngology
• Head and Neck Surgery
• Plastic and Reconstructive Surgery

Background:

• Reconstruction following sinonasal malignancy resection presents unique challenges compared to sellar mass resection.
• The complexity is influenced by defect size, location, and the specific sinonasal subsite involved.

Purpose of the Study:

• To review the goals of reconstruction after sinonasal malignancy resection via endonasal endoscopic and open approaches.
• To delineate reconstructive options tailored to specific sinonasal subsites.
• To identify factors guiding the selection of optimal reconstructive techniques.

Main Methods:

• This study is a narrative review of the literature.
• It synthesizes information on reconstructive goals and techniques for sinonasal defect repair.
• Focuses on both endonasal endoscopic and open surgical approaches.

Main Results:

• Key goals include repairing cerebrospinal fluid (CSF) leaks, restoring sinonasal function, and ensuring a nasal airway.
• Reconstructive strategies must account for the complex anatomy of individual sinuses.
• Various techniques are available, with selection based on defect characteristics.

Conclusions:

• Effective sinonasal defect reconstruction necessitates a personalized approach considering defect specifics and anatomical nuances.
• Optimizing patient quality of life is a primary outcome measure.
• Understanding reconstructive options is crucial for successful surgical management.