Training cerebrospinal fluid leak repair with nasoseptal flap on the lamb's head.

IF 1.3
Ranko Mladina, Paolo Castelnuovo, Davide Locatelli, Katarina Đurić Vuković, Neven Skitarelić
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引用次数: 15

Abstract

Background: One of the major challenges of cranial base surgery is reconstruction of dural defects and cerebrospinal fluid leak closure. Various grafting methods have been used for smaller skull base defects with great success. The indications for endoscopic reconstruction have recently evolved to encompass much larger breeches in the skull base following tumor removal, thus emphasizing the need for vascularized tissue flaps for reconstruction.

Methods: Some authors proposed a pedicled flap of the nasal septum mucoperiosteum and mucoperichondrium, which is very vascularized and has quite a large surface. It is also long enough to easily cover even larger defects of the skull base. The elevation of a nasoseptal flap is based on a particularly advanced surgical technique and thus requires proper training before being performed in a real patient.

Results: Anatomical differences between human and lamb heads were observed and explained although they do not affect the procedure of the elevation of the nasoseptal flap.

Conclusions: The lamb's head has been shown to be an ideal model for the adequate training of the surgical skills required for this demanding procedure.

鼻中隔皮瓣修复羔羊脑脊液漏的训练。
背景:颅底外科的主要挑战之一是硬脑膜缺损的重建和脑脊液漏的闭合。各种移植方法已被用于较小的颅底缺损,并取得了巨大的成功。内镜下重建的适应症最近已经发展到包括肿瘤切除后颅底更大的马尾,因此强调需要血管化组织皮瓣进行重建。方法:采用带蒂鼻中隔粘骨膜及粘骨膜皮瓣修复鼻中隔粘骨膜。它也足够长,可以很容易地覆盖颅底更大的缺陷。鼻中隔瓣的抬高是基于一种特别先进的外科技术,因此在真正的病人身上进行之前需要适当的训练。结果:观察和解释了人头和羊头的解剖差异,尽管它们不影响鼻中隔瓣抬高的过程。结论:羊的头已经被证明是一个理想的模型,为这个苛刻的程序所需的外科技能进行充分的训练。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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