PMID- 33554195
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220420
IS  - 2667-7474 (Electronic)
IS  - 2667-7466 (Print)
IS  - 2667-7466 (Linking)
VI  - 58
IP  - 4
DP  - 2020 Dec
TI  - Outcomes of Middle Turbinate Flap in the Reconstruction of Non-tumorous Ventral 
      Skull Base Defects - an Institutional Review.
PG  - 214-219
LID - 10.5152/tao.2020.5743 [doi]
AB  - OBJECTIVE: Middle turbinate (MT) flap, based on the branches of sphenopalatine 
      artery is one of the commonest mucosal flaps used in endoscopic skull base 
      surgery. The objective of this study is to analyze the outcomes of the MT flap in 
      the reconstruction of non-tumorous ventral skull base defects. METHODS: A 
      retrospective review of patients was done from 2010-19. Patients who underwent 
      reconstruction for non-tumorous ventral skull base defects using middle turbinate 
      (MT) flap were included in the study. The parameters assessed include patient 
      demography, primary etiology, site of the defect, size of the defect, graft 
      materials used, outcomes and postoperative complications. RESULTS: A total of 13 
      patients who met the study criteria were included. Three (23.07%) of the patients 
      had meningo-encephalocele, while the remaining 10 (76.93%) had CSF fistula. 
      Isolated foveal defect (53.8%) was the most common site involved, followed by 
      isolated cribriform, combined cribriform-foveal and combined foveal-planar 
      defects. Graft materials used were fascia lata, fat and septal cartilage. MT flap 
      was successfully harvested in 11 (84.6%) patients, with successful outcome in 
      10/11 patients. Hypoplastic MT was present in two patients, who subsequently 
      required Hadad flap for defect closure. No major complications were reported in 
      the postoperative period. CONCLUSION: The MT flap is effective in the 
      reconstruction of selective skull base defects. Appropriate surgical technique 
      and expertise are required for successful harvest. Further studies are required 
      to analyze its outcomes in various skull base defects.
CI  - (c) Copyright 2020 by Official Journal of the Turkish Society of 
      Otorhinolaryngology and Head and Neck Surgery.
FAU - Manimaran, Vinoth
AU  - Manimaran V
AUID- ORCID: 0000-0002-1321-5698
AD  - Department of Otorhinolaryngology and Head & Neck Surgery, Sri Ramachandra 
      Institute of Higher Education and Research, Tamil Nadu, Chennai, India.
FAU - Lakshmanan, Somu
AU  - Lakshmanan S
AUID- ORCID: 0000-0002-6884-3632
AD  - Department of Otorhinolaryngology and Head & Neck Surgery, Sri Ramachandra 
      Institute of Higher Education and Research, Tamil Nadu, Chennai, India.
FAU - Prateep, Aishwarya
AU  - Prateep A
AUID- ORCID: 0000-0003-4800-9445
AD  - Department of Otorhinolaryngology and Head & Neck Surgery, Sri Ramachandra 
      Institute of Higher Education and Research, Tamil Nadu, Chennai, India.
FAU - Baburajan, Ramya
AU  - Baburajan R
AUID- ORCID: 0000-0001-8853-5285
AD  - Department of Otorhinolaryngology and Head & Neck Surgery, Sri Ramachandra 
      Institute of Higher Education and Research, Tamil Nadu, Chennai, India.
LA  - eng
PT  - Journal Article
DEP - 20201201
PL  - Turkey
TA  - Turk Arch Otorhinolaryngol
JT  - Turkish archives of otorhinolaryngology
JID - 101682806
PMC - PMC7846306
OTO - NOTNLM
OT  - Middle turbinate
OT  - endoscopic surgical procedure
OT  - reconstruction
OT  - skull base
OT  - surgical flap
COIS- Conflict of Interest: The authors have no conflicts of interest to declare.
EDAT- 2021/02/09 06:00
MHDA- 2021/02/09 06:01
PMCR- 2020/12/01
CRDT- 2021/02/08 05:58
PHST- 2020/07/15 00:00 [received]
PHST- 2020/11/12 00:00 [accepted]
PHST- 2021/02/08 05:58 [entrez]
PHST- 2021/02/09 06:00 [pubmed]
PHST- 2021/02/09 06:01 [medline]
PHST- 2020/12/01 00:00 [pmc-release]
AID - tao-58-4-214 [pii]
AID - 10.5152/tao.2020.5743 [doi]
PST - ppublish
SO  - Turk Arch Otorhinolaryngol. 2020 Dec;58(4):214-219. doi: 10.5152/tao.2020.5743. 
      Epub 2020 Dec 1.