Complications of Nasoseptal Flap Reconstruction: A Systematic Review

Overview

Journal J Neurol Surg B Skull Base

Publisher Thieme

Date 2018 Sep 14

PMID 30210981

Citations 25

Authors

Philippe Lavigne

Daniel L Faden

Eric W Wang

Carl H Snyderman

Affiliations

Soon will be listed here.

Abstract

The nasoseptal flap (NSF) is considered the primary vascularized flap for reconstruction of dural defects with endoscopic endonasal surgery (EES) of the skull base. However, the complications and morbidities associated with this reconstructive flap are poorly understood. This article presents a systematic review of the complications and morbidities related to the use of the NSF in skull base surgery. A systematic review of the literature based on published guidelines was performed to identify potential complications and morbidities related to the NSF. The MEDLINE and Embase databases were searched from January 1, 1950 to February 5, 2018. Twenty-seven articles were identified. Reported complications were as follows: NSF necrosis (4 studies; [0-1.3%]), mucocele formation (5 studies; [0-3.6%]), septal perforation (6 studies, [0-14.4%]), nasal dorsum collapse (2 studies, [0.7-5.8%]), effects on quality of life (QoL) (8 studies), and olfactory loss (11 studies). Although complications associated with the NSF may be underreported in the literature, the NSF appears to be a safe and reliable reconstructive flap in EES of the skull base.

Citing Articles

Nasoseptal Flap Enhancement on Early Postoperative MRI Does Not Predict 3-Month Enhancement nor Postoperative Cerebrospinal Fluid Leak Risk.

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Endoscopic septal perforation repair by endonasal flap: a technique using mobilized septal bone or cartilage for support.

Omer G, Di Girolamo S, Ali S, Kareem R, Abdullah A, Maurizi R Eur Arch Otorhinolaryngol. 2024; 282(3):1335-1343.

PMID: 39668223 DOI: 10.1007/s00405-024-09136-4.

Reuse of Nasoseptal Flaps for Endoscopic Endonasal Skull Base Reconstruction.

Bobeff E, Mathios D, Longo D, Estin J, Joshua S, Tabaee A J Neurol Surg B Skull Base. 2024; 85(5):517-525.

PMID: 39228881 PMC: 11368453. DOI: 10.1055/a-2122-7587.

[Clinical analysis of resection and dura skull base reconstruction of cranionasal communication tumor in 31 cases].

Gu H, Zhang E, Li B, Shi L, He M, Xu S Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024; 38(6):496-502.

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Sphenoid Sinus Mucosal Flap after Transsphenoidal Surgery-A Systematic Review.

Sumislawski P, Piotrowska M, Regelsberger J, Flitsch J, Rotermund R Medicina (Kaunas). 2024; 60(2).

PMID: 38399569 PMC: 10890001. DOI: 10.3390/medicina60020282.

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