In response to <i>Pedicled nasoseptal flap is not the standard of care for skull base defects</i>

Caicedo-Granados, Emiro; Carrau, Ricardo L.; Kassam, Amin; Snyderman, Carl H.; Prevedello, Daniel M.; Fernández-Miranda, Juan C.; Gardner, Paul A.

doi:10.1002/lary.21552

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Chen et al [39] reported that, on the average, the nasopharyngeal wound heals completely in 28 days (range 15 to 56 days) and the donor site wound recovers in 46.5 days (range 24 to 84 days). Currently, however, we reconstruct the donor site with a Caicedo reverse rotational flap or a mucoperiosteal graft [40] that rapidly promotes wound healing within 1 to 2 postoperative weeks [41] .…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Nasopharyngeal Malignancies: Role of Endoscopic Endonasal Approaches

Kasemsiri

Prevedello

Otto

et al. 2014

J Nasopharyng Carcinoma

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Abstract:The development of endoscopic techniques has progressed onward with the recent enrichment of anatomical knowledge and experience, as well as the development of advanced technologies. Expansion of the clinical indications for endoscopic endonasal approaches has produced a paradigm shift in the surgical management of nasopharyngeal malignancies similar to that of other areas of the ventral skull base.Endoscopic endonasal nasopharyngectomy is a feasible minimal access technique indicated for the resection of select recurrent and radioresistant nasopharyngeal malignancies. It bestows the advantages of lack of external incisions or scars, decreased trauma to adjacent soft tissues and bone, reduced risk of neurological damage, and superior postoperative quality of life.A comprehensive review of the available literature shows that endoscopic surgery end-results are better than those yielded by re-irradiation or surgery via conventional open approaches. We acknowledge, however, that these results may be influenced by a bias in patient selection. Nonetheless, they suggest that, in properly selected cases, an endoscopic endonasal nasopharyngectomy affords low morbidity rates without compromising oncologic outcomes.Therefore, endoscopic endonasal approaches play a strong role in the treatment of nasopharyngeal malignancies.Nonetheless, one should be fully aware of the indications and limitations of using endoscopic endonasal approach to achieve optimal outcomes.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Nasopharyngeal Malignancies: Role of Endoscopic Endonasal Approaches

Kasemsiri

Prevedello

Otto

et al. 2014

J Nasopharyng Carcinoma

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“…The unfavorable results for nasal physiology can be reduced by a reverse flap from the contralateral septal mucosa [ 602 ], [ 603 ], [ 604 ]. The same is true for free transplantation of nasal mucosa on the exposed septum [ 605 ].…”

Section: Special Reconstructive Proceduresmentioning

confidence: 99%

Comprehensive review on rhino-neurosurgery

Hosemann

Schroeder

2015

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 14:Doc01

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Impact of nasoseptal flap elevation on sinonasal quality of life in endoscopic endonasal approach to pituitary adenomas

Jalessi

Jahanbakhshi

Amini

et al. 2015

Eur Arch Otorhinolaryngol

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To evaluate the impact of nasoseptal flap (NSF) elevation on sinonasal quality of life (QOL) in patients with pituitary adenomas who underwent endoscopic endonasal trans-sphenoidal approach (EETSA), the data of 106 eligible patients were included from February 2011 to December 2014. The scores of Sinonasal Outcome Test (SNOT-22) Questionnaire were assessed in case (that received reconstruction with NSF) and control groups preoperatively as well as 1, 3, 6, and more than 12 months postoperatively. Nine most related sinonasal questions were evaluated separately (9Q). There were no significant inter-group differences in the mean SNOT-22, 9Q, and sense of taste/smell scores in preoperative and all postoperative assessments. Within each group, a significant improvement of SNOT-22 and 9Q scores were noted after 12 months of surgery compared to preoperative data. In the NSF group, comparison of the pre- and first postoperative evaluation revealed a significant deterioration in 9Q score (p = 0.007) and "sense of taste/smell" (p < 0.001) which both returned to baseline in the 3rd month. Patients who used nasal paper mask for more than 100 "hour-days" showed a better SNOT-22 scores at 1st (p = 0.04) and 3rd (p < 0.001) months after surgery. Patients with adrenocorticotropic hormone (ACTH) secretory adenomas showed significantly higher scores of SNOT-22 in all postoperative assessments compared to the others. Although nasal symptoms deteriorated at first postoperative month (compare to preoperative data) in the NSF group, no negative impacts on the sinonasal QOL was showed comparing to the control group. ACTH-secreting adenomas could be assumed as a risk factor for poorer sinonasal QOL in EETSA.

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In response to Pedicled nasoseptal flap is not the standard of care for skull base defects

Cited by 3 publications

References 6 publications

Surgical Treatment of Nasopharyngeal Malignancies: Role of Endoscopic Endonasal Approaches

Surgical Treatment of Nasopharyngeal Malignancies: Role of Endoscopic Endonasal Approaches

Comprehensive review on rhino-neurosurgery

Impact of nasoseptal flap elevation on sinonasal quality of life in endoscopic endonasal approach to pituitary adenomas

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