Direct endonasal approach with partial upper posterior septectomy. a “rescue flap” technique modification
Objective Report a modification of the “rescue flap” technique using a direct endonasal approach with a partial superior septectomy for approaching pituitary tumors developed in our institution. Design Prospective study. Setting Hospital Universitario “Dr. José Eleuterio González,” Universidad Autón...
| Autores principales: | , , , , , , , , |
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| Formato: | Artículo |
| Lenguaje: | inglés |
| Publicado: |
Georg Thieme Verlag
2017
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| Materias: | |
| Acceso en línea: | http://eprints.uanl.mx/25244/1/25244.pdf |
| _version_ | 1824420152517591040 |
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| author | Sotomayor González, Arturo Díaz Martínez, Armando José Radillo Gil, Ramón García Estrada, Everardo Morales Gómez, Jesús Alberto Palacios Ortiz, Isaac Jair Pérez Cárdenas, Samuel Arteaga Treviño, Mauricio Martínez Ponce de León, Ángel Raymundo |
| author_facet | Sotomayor González, Arturo Díaz Martínez, Armando José Radillo Gil, Ramón García Estrada, Everardo Morales Gómez, Jesús Alberto Palacios Ortiz, Isaac Jair Pérez Cárdenas, Samuel Arteaga Treviño, Mauricio Martínez Ponce de León, Ángel Raymundo |
| author_sort | Sotomayor González, Arturo |
| collection | Repositorio Institucional |
| description | Objective Report a modification of the “rescue flap” technique using a direct endonasal approach with a partial superior septectomy for approaching pituitary tumors developed in our institution. Design Prospective study. Setting Hospital Universitario “Dr. José Eleuterio González,” Universidad Autónoma de Nuevo León. Main Outcome Measures Since April 2015, we have performed 19 cases employing a direct endonasal approach with partial superior septectomy. Results and a technical note are described below. Results Nineteen patients were included in this report. Six patients presented transoperatory cerebrospinal fluid (CSF) leak, so a nasoseptal rescue flap was harvested. No patients developed postoperative CSF leak in this group. Two patients were submitted to a second surgical procedure. Nasoseptal flap was harvested without complications. In both patients, the size of the flap was enough to cover the dural defect and avoid CSF leak.
Conclusion Direct endonasal approach with a partial posterior septectomy allows enough exposition of the sphenoidal sinus while preserving the nasoseptal septum with the possibility of a successful rescue flap when needed. |
| format | Article |
| id | eprints-25244 |
| institution | UANL |
| language | English |
| publishDate | 2017 |
| publisher | Georg Thieme Verlag |
| record_format | eprints |
| spelling | eprints-252442023-05-24T15:26:16Z http://eprints.uanl.mx/25244/ Direct endonasal approach with partial upper posterior septectomy. a “rescue flap” technique modification Sotomayor González, Arturo Díaz Martínez, Armando José Radillo Gil, Ramón García Estrada, Everardo Morales Gómez, Jesús Alberto Palacios Ortiz, Isaac Jair Pérez Cárdenas, Samuel Arteaga Treviño, Mauricio Martínez Ponce de León, Ángel Raymundo RD Cirugía Objective Report a modification of the “rescue flap” technique using a direct endonasal approach with a partial superior septectomy for approaching pituitary tumors developed in our institution. Design Prospective study. Setting Hospital Universitario “Dr. José Eleuterio González,” Universidad Autónoma de Nuevo León. Main Outcome Measures Since April 2015, we have performed 19 cases employing a direct endonasal approach with partial superior septectomy. Results and a technical note are described below. Results Nineteen patients were included in this report. Six patients presented transoperatory cerebrospinal fluid (CSF) leak, so a nasoseptal rescue flap was harvested. No patients developed postoperative CSF leak in this group. Two patients were submitted to a second surgical procedure. Nasoseptal flap was harvested without complications. In both patients, the size of the flap was enough to cover the dural defect and avoid CSF leak. Conclusion Direct endonasal approach with a partial posterior septectomy allows enough exposition of the sphenoidal sinus while preserving the nasoseptal septum with the possibility of a successful rescue flap when needed. Georg Thieme Verlag 2017 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/25244/1/25244.pdf http://eprints.uanl.mx/25244/1.haspreviewThumbnailVersion/25244.pdf Sotomayor González, Arturo y Díaz Martínez, Armando José y Radillo Gil, Ramón y García Estrada, Everardo y Morales Gómez, Jesús Alberto y Palacios Ortiz, Isaac Jair y Pérez Cárdenas, Samuel y Arteaga Treviño, Mauricio y Martínez Ponce de León, Ángel Raymundo (2017) Direct endonasal approach with partial upper posterior septectomy. a “rescue flap” technique modification. Journal of Neurological Surgery, 78. pp. 179-183. ISSN 2193-6331 |
| spellingShingle | RD Cirugía Sotomayor González, Arturo Díaz Martínez, Armando José Radillo Gil, Ramón García Estrada, Everardo Morales Gómez, Jesús Alberto Palacios Ortiz, Isaac Jair Pérez Cárdenas, Samuel Arteaga Treviño, Mauricio Martínez Ponce de León, Ángel Raymundo Direct endonasal approach with partial upper posterior septectomy. a “rescue flap” technique modification |
| thumbnail | https://rediab.uanl.mx/themes/sandal5/images/online.png |
| title | Direct endonasal approach with partial upper posterior septectomy. a “rescue flap” technique modification |
| title_full | Direct endonasal approach with partial upper posterior septectomy. a “rescue flap” technique modification |
| title_fullStr | Direct endonasal approach with partial upper posterior septectomy. a “rescue flap” technique modification |
| title_full_unstemmed | Direct endonasal approach with partial upper posterior septectomy. a “rescue flap” technique modification |
| title_short | Direct endonasal approach with partial upper posterior septectomy. a “rescue flap” technique modification |
| title_sort | direct endonasal approach with partial upper posterior septectomy a rescue flap technique modification |
| topic | RD Cirugía |
| url | http://eprints.uanl.mx/25244/1/25244.pdf |
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