Flap de Hadad-Bassagasteguy en la mayoría de la literatura, pero escrito de forma correcta Hadad-Bassagaisteguy flap
Es un colgajo pediculado neurovascular del mucoperiostio del tabique nasal y mucopericondrio de la arteria nasoseptal, una rama de la arteria septal posterior.
Es una técnica reconstructiva versátil y fiable para los defectos de la fosa anterior, media, clival y paraselar. Su uso ha dado lugar a una fuerte disminución en la incidencia de fugas de líquido cefalorraquídeo postoperatorias tras la cirugía endonasal de la base del cráneo y se recomienda para la reconstrucción de grandes defectos durales y cuando además se prevé la radioterapia postoperatoria (Hadad y col., 2006).
Vídeo de un cierre de fístulade LCR por endoscopia con colgajo pediculado endonasal.
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Bibliografía
Hadad, Gustavo, Luis Bassagasteguy, Ricardo L Carrau, Juan C Mataza, Amin Kassam, Carl H Snyderman, and Arlan Mintz. 2006. “A Novel Reconstructive Technique After Endoscopic Expanded Endonasal Approaches: Vascular Pedicle Nasoseptal Flap.” The Laryngoscope 116 (10) (October): 1882–1886. doi:10.1097/01.mlg.0000234933.37779.e4.
Hadad, Gustavo, Carlos M Rivera-Serrano, Luis H Bassagaisteguy, Ricardo L Carrau, Juan Fernandez-Miranda, Daniel M Prevedello, and Amin B Kassam. 2011. “Anterior Pedicle Lateral Nasal Wall Flap: a Novel Technique for the Reconstruction of Anterior Skull Base Defects.” The Laryngoscope 121 (8) (August): 1606–1610. doi:10.1002/lary.21889.
Bibliografía recomendada
1: Fortes FS, Carrau RL, Snyderman CH, Kassam A, Prevedello D, Vescan A, Mintz A, Gardner P. Transpterygoid transposition of a temporoparietal fascia flap: a new method for skull base reconstruction after endoscopic expanded endonasal approaches. Laryngoscope. 2007 Jun;117(6):970-6. PubMed PMID: 17417106.
2: Fortes FS, Carrau RL, Snyderman CH, Prevedello D, Vescan A, Mintz A, Gardner P, Kassam AB. The posterior pedicle inferior turbinate flap: a new vascularized flap for skull base reconstruction. Laryngoscope. 2007 Aug;117(8):1329-32. PubMed PMID: 17597634.
4: Kang MD, Escott E, Thomas AJ, Carrau RL, Snyderman CH, Kassam AB, Rothfus W. The MR imaging appearance of the vascular pedicle nasoseptal flap. AJNR Am J Neuroradiol. 2009 Apr;30(4):781-6. Epub 2009 Feb 12. Erratum in: AJNR Am J Neuroradiol. 2009 Aug;30(7):E113. PubMed PMID: 19213828.
5: Kassam AB, Thomas A, Carrau RL, Snyderman CH, Vescan A, Prevedello D, Mintz A, Gardner P. Endoscopic reconstruction of the cranial base using a pedicled nasoseptal flap. Neurosurgery. 2008 Jul;63(1 Suppl 1):ONS44-52; discussion ONS52-3. PubMed PMID: 18728603.
6: Lee JY, Barroeta JE, Newman JG, Chiu AG, Venneti S, Grady MS. Endoscopic Endonasal Resection of Anterior Skull Base Meningiomas and Mucosa: Implications for Resection, Reconstruction, and Recurrence. J Neurol Surg A Cent Eur Neurosurg. 2012 Oct 26. [Epub ahead of print] PubMed PMID: 23104591.
7: Pinheiro-Neto CD, Carrau RL, Prevedello DM, Fernandez-Miranda JC, Snyderman CS, Gardner PA, Kassam AB. Use of acoustic Doppler sonography to ascertain the feasibility of the pedicled nasoseptal flap after prior bilateral sphenoidotomy. Laryngoscope. 2010 Sep;120(9):1798-801. PubMed PMID: 20715092.
8: Presutti L, Trani M, Alicandri-Ciufelli M, Marchioni D. Exclusive endoscopic removal of a planum sphenoidale meningioma: a case report. Minim Invasive Neurosurg. 2008 Feb;51(1):51-3. PubMed PMID: 18306133.
9: Rivera-Serrano CM, Oliver CL, Sok J, Prevedello DM, Gardner P, Snyderman CH, Kassam AB, Carrau RL. Pedicled facial buccinator (FAB) flap: a new flap for reconstruction of skull base defects. Laryngoscope. 2010 Oct;120(10):1922-30. PubMed PMID: 20824643.
10: Rotenberg BW, Saunders S, Duggal N. Olfactory outcomes after endoscopic transsphenoidal pituitary surgery. Laryngoscope. 2011 Aug;121(8):1611-3. doi: 10.1002/lary.21890. Epub 2011 Jun 6. PubMed PMID: 21647916.
11: Tam S, Duggal N, Rotenberg BW. Olfactory outcomes following endoscopic pituitary surgery with or without septal flap reconstruction: a randomized controlled trial. Int Forum Allergy Rhinol. 2012 Aug 2. doi: 10.1002/alr.21069. [Epub ahead of print] PubMed PMID: 22865728.