search for




 

Two cases of cerebrospinal fluid leakage reconstruction with polycaprolactone-based mesh buttress and nasoseptal flap during endoscopic endonasal transsphenoidal surgery
J Korean Skull Base Soc 2021;16(2):82-87
Published online September 30, 2021
© 2021 Korean Skull Base Society.

Eun A Song, Sung Won Kim, Soo Whan Kim, Do Hyun Kim

Department of Otohinolaryngology-Head and Neck Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence to: Do Hyun Kim
주소 : Department of Otohinolaryngology-Headand Neck Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea
Tel : +82-2-2258-6112
Fax : +82-2-535-1354
E-mail : dohyuni9292@naver.com
Received August 20, 2021; Accepted September 10, 2021.
Abstract
In performing endoscopic endonasal transsphenoidal approach surgery, intraoperative cerebrospinal fluid (CSF) leakage frequently occurs. While a small amount of CSF leakage can be easily handled, in the case of a high flow or a large amount of CSF leak, simply applying a nasoseptal flap may cause flap failure due to flow pressure. The best buttress for this situation would be septal bone or fascia lata; however, it is difficult to use septal bone if it is thin or not sufficiently secured to cover the defect area or in the case of revision case and when donor morbidity is increased for fascia lata harvest. To address this concern, in this study, we report the cases of sellar floor reconstruction using a polycaprolactone-based mesh as buttress.
Keywords : Cerebrospinal fluid leak, Skull base, Postoperative complications, Reconstructive surgical procedures, Absorbable implants


September 2021, 16 (2)
Full Text(PDF) Free

Social Network Service
Services

Cited By Articles
  • CrossRef (0)