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Bilayer Button Graft for Endoscopic Repair of High-Flow Cranial Base Defects

By Chris Luminais, M. L. Otten, A. A. Farag, P. Soni, W. Mohiuddin, N. Ziegler, G. G. Nyquist, C. Farrell, M. R. Rosen and J. J. Evans

Abstract

Closure of dural defects in trans-nasal, extended, endoscopic techniques remains a challenge, and published cerebrospinal fluid (CSF) leak rates are higher than rates for trans-cranial approaches. Development of a technique that used a vascularized, nasoseptal flap (NSF) significantly reduced the rate of CSF leak, and several groups have developed ways to buttress the NSF. A closure technique developed at our institution uses a bilayer “button” of fascia lata. The initial series of twenty patients repaired with this method from 2007 to July 1, 2009 were presented, with a CSF leak rate of 10% (Luginbuhl et al 2010)

Topics: Bilayer Button Graft for Endoscopic Repair of High-Flow Cranial Base Defects, Otolaryngology
Publisher: Jefferson Digital Commons
Year: 2015
OAI identifier: oai:jdc.jefferson.edu:otograndrounds-1037

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