gms | German Medical Science

63. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie (JNS)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

13. - 16. Juni 2012, Leipzig

A visual introduction to the creation and placement of a pedicled flap in endoscopic reconstruction of the skull base

Meeting Abstract

  • B. Krischek - Division of Neurosurgery, Toronto Western Hospital, University Health Network, Toronto, Canada; Klinik für Neurochirurgie, Universitätsklinikum Tübingen, Deutschland
  • H. Pebdani - Division of Neurosurgery, Toronto Western Hospital, University Health Network, Toronto, Canada
  • I. Edem - Division of Neurosurgery, Toronto Western Hospital, University Health Network, Toronto, Canada
  • G. Feigl - Klinik für Neurochirurgie, Universitätsklinikum Tübingen, Deutschland
  • A. Vescan - Department of Otolaryngology, Mount Sinai Hospital, University Health Network, Toronto, Canada
  • F. Gentili - Division of Neurosurgery, Toronto Western Hospital, University Health Network, Toronto, Canada
  • G. Zadeh - Division of Neurosurgery, Toronto Western Hospital, University Health Network, Toronto, Canada

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 63. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie (JNS). Leipzig, 13.-16.06.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP 001

DOI: 10.3205/12dgnc389, URN: urn:nbn:de:0183-12dgnc3891

Veröffentlicht: 4. Juni 2012

© 2012 Krischek et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: The transphenoidal approach provides a well-established route for ventral skull base surgery and in particular intrasellar pathology. The use of the vascular pedicled flap has effectively countered the complications previously associated with the bone and dural defect produced by this procedure. The purpose of this presentation is to introduce the various steps of this technique from a surgical perspective with the demonstration of an interactive video.

Methods: Videos and still images obtained from 75 different endonasal endoscopic transphenoidal procedures, for standard sella pathology and expanded approach for parasellar and anterior fossa tumors were used and edited.

Results: A step-by-step interactive video was created demonstrating the surgical approach and nuances for creating and placing a vascularized pedicled flap.

Conclusions: We believe the implementation of this video provides a greater insight to the approach and provides an invaluable education tool for residents, fellows and neurosurgeons who wish to acquire this technique.