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

Authors

Chris Luminais, Thomas Jefferson UniversityFollow
M. L. Otten, Thomas Jefferson University
A. A. Farag, Thomas Jefferson UniversityFollow
P. Soni, Thomas Jefferson University
W. Mohiuddin, Thomas Jefferson UniversityFollow
N. Ziegler, Thomas Jefferson UniversityFollow
G. G. Nyquist, Thomas Jefferson University
C. Farrell, Thomas Jefferson UniversityFollow
M. R. Rosen, Thomas Jefferson UniversityFollow
J. J. Evans, Thomas Jefferson UniversityFollow

Document Type

Poster

Publication Date

2-19-2015

Comments

Poster presented at NASBS (North American Skull Base Society) February 20-22, 2015 in Tampa Florida.

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).

Recommended Citation

Luminais, Chris; Otten, M. L.; Farag, A. A.; Soni, P.; Mohiuddin, W.; Ziegler, N.; Nyquist, G. G.; Farrell, C.; Rosen, M. R.; and Evans, J. J., "Bilayer Button Graft for Endoscopic Repair of High-Flow Cranial Base Defects" (2015). Department of Otolaryngology - Head and Neck Surgery Presentations and Grand Rounds. Presentation 38.
https://jdc.jefferson.edu/otograndrounds/38