Document Type
Original Article
Abstract
Background: CSF leakage following surgery is a known potential complication associated with substantial morbidity & mortality. Numerous techniques for prevention & treatment after endoscopic skull-base surgery are described. These include lumbar drain, autologous grafts like fat, muscle and fascia and synthetic materials like a polyester-silicon dural substitute. But these grafts alone were associated with a high failure rate, particularly in large defects. The application of vascularized flaps promotes more rapid and complete healing and was associated with a sharp decrease in CSF leaks. These vascularized flaps include nasoseptal, inferior turbinate and peri-cranial flaps. The most common nasoseptal flap (NSF) is that depending on the nasoseptal artery.
Aim of the work: studying how to decrease the CSF leakage frequency following an endoscopic endonasal skull-base operation by endoscopic skull-base reconstruction and evaluating the different and recent modalities of skull-base reconstruction.
Patients and Methods: It is a prospective cross-sectional observational study, where 30 diseased persons with middle & anterior skull-base lesions and undergoing skull-base reconstruction following endoscopic endonasal skull-base surgical operation.
Results: Intra-operative CSF leakage occurred in 9 (30%) subjects. Only 2 (8%) cases had post-operative CSF leaks and needed reconstruction.
Conclusion: Skull-base complications require accurate and long-lasting repair after endoscopic skull-base tumour removal.
Keywords
skull base; endoscopic surgery; reconstruction
Subject Area
Neurosurgery
How to Cite This Article
Mohammed, Mostafa El-sayed; Sherif, Hany Hafez; Alaghory, Islam Mohammed; and Mobarak, Ahmed Nossir Abd El-khalek
(2023)
"Skull Base Reconstruction After Endoscopic Endonasal Skull Base Surgery,"
Al-Azhar International Medical Journal: Vol. 4:
Iss.
12, Article 32.
DOI: https://doi.org/10.58675/2682-339X.2168
