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New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap
Introduction Reconstructions of clival resection are still challenging, and additional reconstructive methods may be necessary to achieve full coverage of the skull-base defect in patients with middle- and lower-clivus disease. Objective To describe a new nasopharyngeal flap for the middle and low...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda.
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9282949/ https://www.ncbi.nlm.nih.gov/pubmed/35846817 http://dx.doi.org/10.1055/s-0041-1724094 |
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author | Pezato, Rogério Dassi, Camila Stamm, Aldo Cassol Voegels, Richard Louis |
author_facet | Pezato, Rogério Dassi, Camila Stamm, Aldo Cassol Voegels, Richard Louis |
author_sort | Pezato, Rogério |
collection | PubMed |
description | Introduction Reconstructions of clival resection are still challenging, and additional reconstructive methods may be necessary to achieve full coverage of the skull-base defect in patients with middle- and lower-clivus disease. Objective To describe a new nasopharyngeal flap for the middle and lower clivus. Methods Using nasal endoscopy in a cadaver dissection, we demonstrated a new nasopharygeal flap to cover the lower and middle clival resection. Results We described a new nasopharyngeal flap capable of covering the lower and middle portion of the clivus. Discussion The new nasopharyngeal flap, called the upper-tongue flap, is particularly adequate as an alternative for the reconstruction of middle and lower clivus defects, and it is better used in association with a nasalseptal flap in cases in which the nasalseptal flap alone does not provide enough mucosal coverage. Conclusion The new nasopharyngeal flap can be used in the reconstruction of clival resection. |
format | Online Article Text |
id | pubmed-9282949 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Thieme Revinter Publicações Ltda. |
record_format | MEDLINE/PubMed |
spelling | pubmed-92829492022-07-15 New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap Pezato, Rogério Dassi, Camila Stamm, Aldo Cassol Voegels, Richard Louis Int Arch Otorhinolaryngol Introduction Reconstructions of clival resection are still challenging, and additional reconstructive methods may be necessary to achieve full coverage of the skull-base defect in patients with middle- and lower-clivus disease. Objective To describe a new nasopharyngeal flap for the middle and lower clivus. Methods Using nasal endoscopy in a cadaver dissection, we demonstrated a new nasopharygeal flap to cover the lower and middle clival resection. Results We described a new nasopharyngeal flap capable of covering the lower and middle portion of the clivus. Discussion The new nasopharyngeal flap, called the upper-tongue flap, is particularly adequate as an alternative for the reconstruction of middle and lower clivus defects, and it is better used in association with a nasalseptal flap in cases in which the nasalseptal flap alone does not provide enough mucosal coverage. Conclusion The new nasopharyngeal flap can be used in the reconstruction of clival resection. Thieme Revinter Publicações Ltda. 2021-11-03 /pmc/articles/PMC9282949/ /pubmed/35846817 http://dx.doi.org/10.1055/s-0041-1724094 Text en Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Pezato, Rogério Dassi, Camila Stamm, Aldo Cassol Voegels, Richard Louis New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap |
title | New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap |
title_full | New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap |
title_fullStr | New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap |
title_full_unstemmed | New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap |
title_short | New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap |
title_sort | new nasopharyngeal flap for posterior skull-base reconstruction: the upper-tongue flap |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9282949/ https://www.ncbi.nlm.nih.gov/pubmed/35846817 http://dx.doi.org/10.1055/s-0041-1724094 |
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