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<Editors’ Choice> Long-term outcomes of lateral skull base reconstruction with a free omental flap and facial nerve reconstruction

In lateral skull base reconstruction, it is necessary to seal the defect in the lateral skull base, fill the dead space, and, sometimes, reconstruct the facial nerve. However, this procedure is difficult to perform with a standard musculocutaneous flap. Therefore, for such cases, an omental flap is...

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Autores principales: Kambe, Miki, Hashikawa, Kazunobu, Takanari, Keisuke, Yagi, Shunjiro, Toriyama, Kazuhiro, Ebisawa, Katsumi, Nishio, Naoki, Maruo, Takashi, Mukoyama, Nobuaki, Fujimoto, Yasushi, Fujii, Masazumi, Saito, Kiyoshi, Takahashi, Masakatsu, Kamei, Yuzuru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nagoya University 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10281835/
https://www.ncbi.nlm.nih.gov/pubmed/37346845
http://dx.doi.org/10.18999/nagjms.85.2.255
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author Kambe, Miki
Hashikawa, Kazunobu
Takanari, Keisuke
Yagi, Shunjiro
Toriyama, Kazuhiro
Ebisawa, Katsumi
Nishio, Naoki
Maruo, Takashi
Mukoyama, Nobuaki
Fujimoto, Yasushi
Fujii, Masazumi
Saito, Kiyoshi
Takahashi, Masakatsu
Kamei, Yuzuru
author_facet Kambe, Miki
Hashikawa, Kazunobu
Takanari, Keisuke
Yagi, Shunjiro
Toriyama, Kazuhiro
Ebisawa, Katsumi
Nishio, Naoki
Maruo, Takashi
Mukoyama, Nobuaki
Fujimoto, Yasushi
Fujii, Masazumi
Saito, Kiyoshi
Takahashi, Masakatsu
Kamei, Yuzuru
author_sort Kambe, Miki
collection PubMed
description In lateral skull base reconstruction, it is necessary to seal the defect in the lateral skull base, fill the dead space, and, sometimes, reconstruct the facial nerve. However, this procedure is difficult to perform with a standard musculocutaneous flap. Therefore, for such cases, an omental flap is used in our hospital because of its flexibility. In this study, we report our experience with the procedure (lateral skull base reconstruction with a free omental flap) and its long-term outcome and facial nerve reconstruction, with special focus on facial nerve recovery. This study is a technical note and a retrospective review. It was conducted in Nagoya University Hospital. Overall, 16 patients (12 women and 4 men; mean age: 55.1 years) underwent lateral skull base reconstruction with a free omental flap after subtotal temporal bone resection or lateral temporal bone resection during 2005–2017. The main outcome measures were postoperative complications and facial nerve recovery: Yanagihara score and House-Brackmann grading system. Complications included partial necrosis and minor cerebrospinal fluid leakage in 2 patients. Facial nerve recovery could be observed more than 12 months after surgery, with a mean Yanagihara score of 19.6 and House-Brackmann grade of 3.60. The free omental flap is a reliable method for lateral skull base reconstruction, especially in cases where facial nerve reconstruction is needed. To the best of our knowledge, this is the first report on facial nerve recovery after lateral skull base reconstruction.
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spelling pubmed-102818352023-06-21 <Editors’ Choice> Long-term outcomes of lateral skull base reconstruction with a free omental flap and facial nerve reconstruction Kambe, Miki Hashikawa, Kazunobu Takanari, Keisuke Yagi, Shunjiro Toriyama, Kazuhiro Ebisawa, Katsumi Nishio, Naoki Maruo, Takashi Mukoyama, Nobuaki Fujimoto, Yasushi Fujii, Masazumi Saito, Kiyoshi Takahashi, Masakatsu Kamei, Yuzuru Nagoya J Med Sci Original Paper In lateral skull base reconstruction, it is necessary to seal the defect in the lateral skull base, fill the dead space, and, sometimes, reconstruct the facial nerve. However, this procedure is difficult to perform with a standard musculocutaneous flap. Therefore, for such cases, an omental flap is used in our hospital because of its flexibility. In this study, we report our experience with the procedure (lateral skull base reconstruction with a free omental flap) and its long-term outcome and facial nerve reconstruction, with special focus on facial nerve recovery. This study is a technical note and a retrospective review. It was conducted in Nagoya University Hospital. Overall, 16 patients (12 women and 4 men; mean age: 55.1 years) underwent lateral skull base reconstruction with a free omental flap after subtotal temporal bone resection or lateral temporal bone resection during 2005–2017. The main outcome measures were postoperative complications and facial nerve recovery: Yanagihara score and House-Brackmann grading system. Complications included partial necrosis and minor cerebrospinal fluid leakage in 2 patients. Facial nerve recovery could be observed more than 12 months after surgery, with a mean Yanagihara score of 19.6 and House-Brackmann grade of 3.60. The free omental flap is a reliable method for lateral skull base reconstruction, especially in cases where facial nerve reconstruction is needed. To the best of our knowledge, this is the first report on facial nerve recovery after lateral skull base reconstruction. Nagoya University 2023-05 /pmc/articles/PMC10281835/ /pubmed/37346845 http://dx.doi.org/10.18999/nagjms.85.2.255 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ).
spellingShingle Original Paper
Kambe, Miki
Hashikawa, Kazunobu
Takanari, Keisuke
Yagi, Shunjiro
Toriyama, Kazuhiro
Ebisawa, Katsumi
Nishio, Naoki
Maruo, Takashi
Mukoyama, Nobuaki
Fujimoto, Yasushi
Fujii, Masazumi
Saito, Kiyoshi
Takahashi, Masakatsu
Kamei, Yuzuru
<Editors’ Choice> Long-term outcomes of lateral skull base reconstruction with a free omental flap and facial nerve reconstruction
title <Editors’ Choice> Long-term outcomes of lateral skull base reconstruction with a free omental flap and facial nerve reconstruction
title_full <Editors’ Choice> Long-term outcomes of lateral skull base reconstruction with a free omental flap and facial nerve reconstruction
title_fullStr <Editors’ Choice> Long-term outcomes of lateral skull base reconstruction with a free omental flap and facial nerve reconstruction
title_full_unstemmed <Editors’ Choice> Long-term outcomes of lateral skull base reconstruction with a free omental flap and facial nerve reconstruction
title_short <Editors’ Choice> Long-term outcomes of lateral skull base reconstruction with a free omental flap and facial nerve reconstruction
title_sort <editors’ choice> long-term outcomes of lateral skull base reconstruction with a free omental flap and facial nerve reconstruction
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10281835/
https://www.ncbi.nlm.nih.gov/pubmed/37346845
http://dx.doi.org/10.18999/nagjms.85.2.255
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