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https://observatorio.fm.usp.br/handle/OPI/48671
Title: | New Nasopharyngeal Flap for Posterior Skull-Base Reconstruction: The Upper-Tongue Flap |
Authors: | PEZATO, Rogerio; DASSI, Camila; STAMM, Aldo Cassol; VOEGELS, Richard Louis |
Citation: | INTERNATIONAL ARCHIVES OF OTORHINOLARYNGOLOGY, v.26, n.3, p.E467-E469, 2022 |
Abstract: | 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. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MOF Artigos e Materiais de Revistas Científicas - FM/Outros Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/32 |
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File | Description | Size | Format | |
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art_PEZATO_New_Nasopharyngeal_Flap_for_Posterior_SkullBase_Reconstruction_The_2022.PDF | publishedVersion (English) | 2.81 MB | Adobe PDF | View/Open |
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