Transnasal endoscopic repair of nasal-skull base defect: 69 cases.
- Author:
Yuan LI
1
;
Xian LIU
;
Jin YE
;
Ge-Hua ZHANG
;
Min-Qiang XIE
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Child; Child, Preschool; Endoscopy; Female; Humans; Infant; Male; Middle Aged; Otorhinolaryngologic Surgical Procedures; methods; Retrospective Studies; Skull Base; surgery; Young Adult
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2007;42(5):337-340
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the experience of transnasal endoscopic repair of nasal-skull base defect.
METHODSThe clinical data of 69 patients with transnasal endoscopic repair of skull base defect from January 1998 to June 2006 were analyzed retrospectively. The causes, sites of defect and the effect and key technique of transnasal endoscopic repair were investigated.
RESULTSAll patients were followed-up for 6 months to 11 years. The causes were mainly traumatic fracture, occupying lesions and iatrogenic trauma. The sites were mainly in ethmoid sinus and sphenoid sinus. The success rate of one attempt was 91.3% (63/69), the ultimate success rate was 95.7% (66/69).
CONCLUSIONSTransnasal endoscopic repair of skull base defect may be the best approach. Debriding and raw edge of defect area and "inlay-plug" method are of key technique. The liber muscle and fascia are ideal repair material.
