Abstract：
BACKGROUND:The pedicled nasoseptal mucoperiosteal flap is currently widely used for the reconstruction of a skull base defect following transsphenoidal surgery. The flap is generally secured in position by a Foley catheter balloon. We describe an alternative technique using cylinders of Gelfoam™ (Pfizer Incorporated) to buttress the flap in place, obviating the need for a balloon catheter. MATERIAL AND METHODS:A review of our database identified patients who underwent endoscopic transsphenoidal surgery for a pituitary macroadenoma with nasoseptal flap, secured with small rolls of Gelfoam™ (Pfizer Incorporated) rather than a nasal Foley catheter. Minimum follow-up clinical and MRI assessments: 3 months. RESULTS:73 patients (mean follow-up: 22 months) met the inclusion criteria: 56 non-functioning and 17 functioning pituitary adenomas. 36 patients had an intraoperative CSF leak: 30 high flow and 6 low flow leaks. The surgical repair in 35 patients included fat +/- fascia graft. One patient had a post-operative CSF leak repaired by subsequent surgery without the use of a Foley catheter. CONCLUSION:Securing the nasoseptal flap using rolls of Gelfoam™ (Pfizer Incorporated) as described can be achieved without the use of a nasal Foley catheter.
journal_name
Am J Otolaryngoljournal_title
American journal of otolaryngologyauthors
Massoud EAS,Hebb ALO,Clarke DBdoi
10.1016/j.amjoto.2020.102417subject
Has Abstractpub_date
2020-01-01 00:00:00pages
102417issue
3eissn
0196-0709issn
1532-818Xpii
S0196-0709(20)30088-0journal_volume
41pub_type
杂志文章abstract：PURPOSE:The aim of the study was to present a consecutive series of neonatal dacryocele with endonasal cyst diagnosed and treated in our institution and to compare our management regimen and outcome with those reported in the literature. METHODS:The study was conducted at a university-affiliated teaching hospital. Stu...
journal_title：American journal of otolaryngology
pub_type： 杂志文章
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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更新日期：1988-09-01 00:00:00
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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更新日期：2013-11-01 00:00:00
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更新日期：2013-09-01 00:00:00
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
doi：10.1016/j.amjoto.2009.06.004
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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