PMID- 37950636
OWN - NLM
STAT- MEDLINE
DCOM- 20240411
LR  - 20240411
IS  - 1531-4995 (Electronic)
IS  - 0023-852X (Linking)
VI  - 134
IP  - 5
DP  - 2024 May
TI  - Cadaveric and Computed Tomography Analysis of the Anterior Ethmoidal Artery Flap.
PG  - 2100-2104
LID - 10.1002/lary.31162 [doi]
AB  - BACKGROUND: The anterior ethmoidal artery (AEA) flap has been successful in 
      repairing anterior nasal septal perforations and has been presumed to be axially 
      based on AEA branches coursing through or around the cribriform plate (CP). 
      However, limited evidence supports the flap's axial supply. The purposes of this 
      cadaveric and computed tomography (CT) study were to assess the arterial anatomy 
      from the CP to the septum, and to determine AEA flap length to predict ideal flap 
      base width. METHODS: Ten fresh latex-injected cadavers were utilized for 
      endoscopic dissection to identify arteries traversing the CPs on each side. 
      First, arterial trajectories along the dorsal septum were recorded. Measurements 
      were then made bilaterally along the septum from the middle turbinate (MT) axilla 
      to the nasal branch of the AEA (NBAEA) traversing the CP. Additionally, 100 sinus 
      CTs were reviewed to measure AEA flap lengths bilaterally. RESULTS: From 10 
      cadavers, 20 sides were utilized for measurements. In all cadavers, the AEA 
      septal branches coursed diagonally or horizontally along the dorsal septum, and 
      never directly vertically. The mean distance from the MT axilla to the NBAEA was 
      1.24 +/- 1.93 cm (range = 1-1.5 cm). Based on CTs, the mean AEA flap length was 
      6.40 +/- 0.60 cm. CONCLUSIONS: Based on the non-vertical courses of AEA septal 
      branches, the AEA flap is more likely a random transposition flap than an axial 
      flap. Average AEA flap length ranged from 6.0 to 7.0 cm. Assuming 3:1 
      length:width ratios, AEA flap base widths should be about 2.0-2.3 cm. LEVEL OF 
      EVIDENCE: NA Laryngoscope, 134:2100-2104, 2024.
CI  - (c) 2023 The American Laryngological, Rhinological and Otological Society, Inc.
FAU - Donaldson, Lane B
AU  - Donaldson LB
AUID- ORCID: 0000-0003-2941-7144
AD  - Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health, Detroit, 
      Michigan, U.S.A.
FAU - Deeb, Robert H
AU  - Deeb RH
AUID- ORCID: 0000-0001-5845-9920
AD  - Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health, Detroit, 
      Michigan, U.S.A.
FAU - Momin, Suhael
AU  - Momin S
AD  - Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health, Detroit, 
      Michigan, U.S.A.
FAU - Eide, Jacob G
AU  - Eide JG
AD  - Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health, Detroit, 
      Michigan, U.S.A.
FAU - Craig, John R
AU  - Craig JR
AUID- ORCID: 0000-0002-7377-4782
AD  - Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health, Detroit, 
      Michigan, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20231111
PL  - United States
TA  - Laryngoscope
JT  - The Laryngoscope
JID - 8607378
SB  - IM
MH  - Humans
MH  - *Surgical Flaps/blood supply
MH  - *Turbinates
MH  - Arteries/anatomy & histology
MH  - Tomography, X-Ray Computed
MH  - Endoscopy/methods
MH  - Cadaver
OTO - NOTNLM
OT  - flap anatomy
OT  - nasal septal perforation
OT  - septal perforation repair
OT  - septoplasty
OT  - transposition flap
EDAT- 2023/11/11 20:43
MHDA- 2024/04/11 06:42
CRDT- 2023/11/11 06:43
PHST- 2023/10/09 00:00 [revised]
PHST- 2023/09/19 00:00 [received]
PHST- 2023/10/17 00:00 [accepted]
PHST- 2024/04/11 06:42 [medline]
PHST- 2023/11/11 20:43 [pubmed]
PHST- 2023/11/11 06:43 [entrez]
AID - 10.1002/lary.31162 [doi]
PST - ppublish
SO  - Laryngoscope. 2024 May;134(5):2100-2104. doi: 10.1002/lary.31162. Epub 2023 Nov 
      11.