Cerebro-Spinal Fluid Leak in Skull Base Reconstruction Using Hadad - Bassagasteguy Flap after Endoscopic Endonasal Transsphenoidal Surgery: A Case Series

Objective: To determine the incidence of cerebrospinal fluid (CSF) leak after Hadad[1]Bassagasteguy Flap (HBF) reconstruction after endoscopic endonasal transsphenoidal surgery for skull base pathologies from 2016 to 2020 at the University of the East Ramon Magsaysay Memorial Medical Center. Met...

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Autores principales:	Jan Paul Formalejo, Jay Pee Amable
Formato:	article
Lenguaje:	EN
Publicado:	Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. 2021
Materias:	hadad-Bassagasteguy flap hadad flap cerebrospinal fluid leak CSF leak endoscopic endonasal transsphenoidal surgery Otorhinolaryngology RF1-547
Acceso en línea:	https://doaj.org/article/4a440ba592db4070ade0b6ba2a95d5e6
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spelling	oai:doaj.org-article:4a440ba592db4070ade0b6ba2a95d5e62021-11-15T21:14:42ZCerebro-Spinal Fluid Leak in Skull Base Reconstruction Using Hadad - Bassagasteguy Flap after Endoscopic Endonasal Transsphenoidal Surgery: A Case Series 1908-48892094-1501https://doaj.org/article/4a440ba592db4070ade0b6ba2a95d5e62021-11-01T00:00:00Zhttps://pjohns.pso-hns.org/index.php/pjohns/article/view/1797https://doaj.org/toc/1908-4889https://doaj.org/toc/2094-1501 Objective: To determine the incidence of cerebrospinal fluid (CSF) leak after Hadad[1]Bassagasteguy Flap (HBF) reconstruction after endoscopic endonasal transsphenoidal surgery for skull base pathologies from 2016 to 2020 at the University of the East Ramon Magsaysay Memorial Medical Center. Methods: Design: Case Series Setting: Tertiary Private Training Hospital Participants: Charts of 35 patients who underwent endoscopic endonasal transsphenoidal surgery with reconstruction using Hadad-Bassagasteguy flap between January 2016 to February 2020 were reviewed and data on demographics, date of procedure, mass size, final diagnosis, presence of preoperative, intraoperative and postoperative CSF leak, placement of lumbar drain and course in the wards were collected. Results: There were 23 women and 12 men with ages ranging from 21 to 71 years. Four patients (11.4%) had postoperative CSF leak after reconstruction with HBF. Two of these four patients had episodes of nose blowing and sneezing weeks after surgery, prior to the development of the CSF leak. The other two patients experienced CSF leak 3 days postoperatively. Conclusion: HBF has been a workhorse for reconstruction of skull base defects after transsphenoidal surgery, and based on our experience remains to be so, making it possible for expanded approaches and a wide variety of pathologies to be operated on via the endonasal route Jan Paul FormalejoJay Pee AmablePhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.articlehadad-Bassagasteguy flaphadad flap cerebrospinal fluid leakCSF leakendoscopic endonasal transsphenoidal surgeryOtorhinolaryngologyRF1-547ENPhilippine Journal of Otolaryngology Head and Neck Surgery, Vol 36, Iss 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hadad-Bassagasteguy flap hadad flap cerebrospinal fluid leak CSF leak endoscopic endonasal transsphenoidal surgery Otorhinolaryngology RF1-547
spellingShingle	hadad-Bassagasteguy flap hadad flap cerebrospinal fluid leak CSF leak endoscopic endonasal transsphenoidal surgery Otorhinolaryngology RF1-547 Jan Paul Formalejo Jay Pee Amable Cerebro-Spinal Fluid Leak in Skull Base Reconstruction Using Hadad - Bassagasteguy Flap after Endoscopic Endonasal Transsphenoidal Surgery: A Case Series
description	Objective: To determine the incidence of cerebrospinal fluid (CSF) leak after Hadad[1]Bassagasteguy Flap (HBF) reconstruction after endoscopic endonasal transsphenoidal surgery for skull base pathologies from 2016 to 2020 at the University of the East Ramon Magsaysay Memorial Medical Center. Methods: Design: Case Series Setting: Tertiary Private Training Hospital Participants: Charts of 35 patients who underwent endoscopic endonasal transsphenoidal surgery with reconstruction using Hadad-Bassagasteguy flap between January 2016 to February 2020 were reviewed and data on demographics, date of procedure, mass size, final diagnosis, presence of preoperative, intraoperative and postoperative CSF leak, placement of lumbar drain and course in the wards were collected. Results: There were 23 women and 12 men with ages ranging from 21 to 71 years. Four patients (11.4%) had postoperative CSF leak after reconstruction with HBF. Two of these four patients had episodes of nose blowing and sneezing weeks after surgery, prior to the development of the CSF leak. The other two patients experienced CSF leak 3 days postoperatively. Conclusion: HBF has been a workhorse for reconstruction of skull base defects after transsphenoidal surgery, and based on our experience remains to be so, making it possible for expanded approaches and a wide variety of pathologies to be operated on via the endonasal route
format	article
author	Jan Paul Formalejo Jay Pee Amable
author_facet	Jan Paul Formalejo Jay Pee Amable
author_sort	Jan Paul Formalejo
title	Cerebro-Spinal Fluid Leak in Skull Base Reconstruction Using Hadad - Bassagasteguy Flap after Endoscopic Endonasal Transsphenoidal Surgery: A Case Series
title_short	Cerebro-Spinal Fluid Leak in Skull Base Reconstruction Using Hadad - Bassagasteguy Flap after Endoscopic Endonasal Transsphenoidal Surgery: A Case Series
title_full	Cerebro-Spinal Fluid Leak in Skull Base Reconstruction Using Hadad - Bassagasteguy Flap after Endoscopic Endonasal Transsphenoidal Surgery: A Case Series
title_fullStr	Cerebro-Spinal Fluid Leak in Skull Base Reconstruction Using Hadad - Bassagasteguy Flap after Endoscopic Endonasal Transsphenoidal Surgery: A Case Series
title_full_unstemmed	Cerebro-Spinal Fluid Leak in Skull Base Reconstruction Using Hadad - Bassagasteguy Flap after Endoscopic Endonasal Transsphenoidal Surgery: A Case Series
title_sort	cerebro-spinal fluid leak in skull base reconstruction using hadad - bassagasteguy flap after endoscopic endonasal transsphenoidal surgery: a case series
publisher	Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
publishDate	2021
url	https://doaj.org/article/4a440ba592db4070ade0b6ba2a95d5e6
work_keys_str_mv	AT janpaulformalejo cerebrospinalfluidleakinskullbasereconstructionusinghadadbassagasteguyflapafterendoscopicendonasaltranssphenoidalsurgeryacaseseries AT jaypeeamable cerebrospinalfluidleakinskullbasereconstructionusinghadadbassagasteguyflapafterendoscopicendonasaltranssphenoidalsurgeryacaseseries
_version_	1718426841710067712

Cerebro-Spinal Fluid Leak in Skull Base Reconstruction Using Hadad - Bassagasteguy Flap after Endoscopic Endonasal Transsphenoidal Surgery: A Case Series

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