All Issues
Year: 2022  Vol. 26   Num. 3  - Julyy/Sept
DOI: 10.1055/s-0041-1724094
Original Article
Versão em PDF PDF in English TextoText in English
New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap
Rogrio Pezato, Camila Dassi, Aldo Cassol Stamm, Richard Louis Voegels
Key words:
nasopharynx - flap - nasal

Introduction Reconstructions of clival resection are still challenging, and additional reconstructive methods may be necessary to achieve full coverage of the skull-base defect in patients with middle- and lower-clivus disease.

Objective To describe a new nasopharyngeal flap for the middle and lower clivus.

Methods Using nasal endoscopy in a cadaver dissection, we demonstrated a new nasopharygeal flap to cover the lower and middle clival resection.

Results We described a new nasopharyngeal flap capable of covering the lower and middle portion of the clivus.

Discussion The new nasopharyngeal flap, called the upper-tongue flap, is particularly adequate as an alternative for the reconstruction of middle and lower clivus defects, and it is better used in association with a nasalseptal flap in cases in which the nasalseptal flap alone does not provide enough mucosal coverage.

Conclusion The new nasopharyngeal flap can be used in the reconstruction of clival resection.



All right reserved. Prohibited the reproduction of papers
without previous authorization of FORL © 1997- 2024