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Two cases of nasoseptal flap failure following application to avascular surfaces
J Korean Skull Base Soc 2022;17(1):34-39
Published online May 31, 2022
© 2022 Korean Skull Base Society.

Dong Heun Park, Min Young Seo

Department of Otorhinolaryngology-Head and Neck Surgery, Ansan Hospital, Korea University College of Medicine, Ansan, Korea
Correspondence to: Min Young Seo
주소 : Department of Otorhinolaryngology-Head and Neck Surgery, Ansan Hospital, Korea University College of Medicine, 123 Jeokgeum-ro, Danwon-gu, Ansan 15355, Korea
Tel : +82-31-412-5170
Fax : +82-31-412-5174
E-mail : chariseoma@gmail.com
Received October 8, 2021; Revised November 21, 2021; Accepted February 23, 2022.
Abstract
The nasoseptal flap (NSF) has been broadly used to reconstruct skull base defects as well as other head and neck site defects recently. Generally, NSF reconstruction may cover a defects successfully in many cases because of neurovascular pedicle that supplies necessary elements for flap to survive and re-establish. However, when NSF applied to cover the avascular surfaces such as osteoradionecrotic tissue which is induced by radiotherapy or artificial materials that used for bony structure reconstruction may lose an advantage and increasing possibility of flap failure. Therefore, we try to contemplate 2 cases of flap failure following application to avascular surfaces to prevent such a situations in future surgeries.
Keywords : Nasoseptal flap, Avascular surfaces, Flap failure


May 2022, 17 (1)
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