Artikel
A visual introduction to the creation and placement of a pedicled flap in endoscopic reconstruction of the skull base
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Veröffentlicht: | 4. Juni 2012 |
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Gliederung
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Objective: The transphenoidal approach provides a well-established route for ventral skull base surgery and in particular intrasellar pathology. The use of the vascular pedicled flap has effectively countered the complications previously associated with the bone and dural defect produced by this procedure. The purpose of this presentation is to introduce the various steps of this technique from a surgical perspective with the demonstration of an interactive video.
Methods: Videos and still images obtained from 75 different endonasal endoscopic transphenoidal procedures, for standard sella pathology and expanded approach for parasellar and anterior fossa tumors were used and edited.
Results: A step-by-step interactive video was created demonstrating the surgical approach and nuances for creating and placing a vascularized pedicled flap.
Conclusions: We believe the implementation of this video provides a greater insight to the approach and provides an invaluable education tool for residents, fellows and neurosurgeons who wish to acquire this technique.