MORENO LUNA, RAMÓN, Marino Sanchez, Franklin , Kaen, Ariel , Gras Cabrerizo, Juan Ramon , Mata Castro, Nieves , Gonzalez Garcia, Jaime , Villacampa Auba, Jose Miguel , Cardenas Ruiz-Valdepenas, Eugenio , Monjas Canovas, Irene , del Cuvillo Bernal, Alfonso , Garcia Pinero, Alfonso , Maza Solano, Juan Manuel , Fernandez de Liesa, Rafael , Sanchez-Gomez, Serafin , Alobid, Isam
No
Acta Otorrinolaringol. Esp.
Article
Científica
1
0.304
01/09/2022
000863096400007
Introduction: Skull base reconstruction is one of the greatest challenges extended endonasal endoscopic surgery. Many grafts and flaps from the endonasal fossa have been demonstrated to be useful in the control of complications such a cerebrospinal fluid leaks. Review and analysis of these resources are necessary in skull base recontruction to improve outcomes. Objectives: The target is to create a consensus document on the use of different endonasal flaps and grafts in the skull base surgery. Material and methods: Literature review of the most relevant free grafts and vascularized flaps from the endonasal fossa. Analysis using the Delphi method on the use of the different endonasal resources for endoscopic repair of skull base defects. Results: We obtained two results: 1) A selection of the most representative flaps and grafts from the endonasal fossa, describing origin, surface and indications, based on a literature review. 2) A consensus document, using Delphi methodology, with general considerations (2), recommendations (10) and limitations (6) of the different endonasal flaps and grafts. Conclusions: We present the first consensus document in the field of extended endonasal endoscopic surgery using the Delphi method as a working tool. We highlight the usefulness of the nasoseptal flap together with other endonasal flaps and grafts for skull base reconstruction. (C) 2021 Sociedad Espanola de Otorrinolaringologia y Cirugia de Cabeza y Cuello. Published by Elsevier Espana, S.L.U. All rights reserved.
Consensus document; Delphi Method; Endoscopic endonasal approach; Nasoseptal Rap; Endonasal grafts; Mucoptasty; Cerebrospinal fluid leaks; Skull base reconstruction