New Nasopharyngeal Flap for Posterior Skull-Base Reconstruction: The Upper-Tongue Flap

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 middl...

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Auteurs principaux:	Rogério Pezato, Camila Dassi, Aldo Cassol Stamm, Richard Louis Voegels
Format:	article
Langue:	EN
Publié:	Thieme Revinter Publicações Ltda. 2021
Sujets:	nasopharynx flap nasal Medicine R Otorhinolaryngology RF1-547
Accès en ligne:	https://doaj.org/article/9aa86a06c1e542f38b8203e5f32276fc
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spelling	oai:doaj.org-article:9aa86a06c1e542f38b8203e5f32276fc2021-11-04T00:04:13ZNew Nasopharyngeal Flap for Posterior Skull-Base Reconstruction: The Upper-Tongue Flap1809-97771809-486410.1055/s-0041-1724094https://doaj.org/article/9aa86a06c1e542f38b8203e5f32276fc2021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1724094https://doaj.org/toc/1809-9777https://doaj.org/toc/1809-4864Introduction 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.Rogério PezatoCamila DassiAldo Cassol StammRichard Louis VoegelsThieme Revinter Publicações Ltda.articlenasopharynxflapnasalMedicineROtorhinolaryngologyRF1-547ENInternational Archives of Otorhinolaryngology (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	nasopharynx flap nasal Medicine R Otorhinolaryngology RF1-547
spellingShingle	nasopharynx flap nasal Medicine R Otorhinolaryngology RF1-547 Rogério Pezato Camila Dassi Aldo Cassol Stamm Richard Louis Voegels New Nasopharyngeal Flap for Posterior Skull-Base Reconstruction: The Upper-Tongue Flap
description	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.
format	article
author	Rogério Pezato Camila Dassi Aldo Cassol Stamm Richard Louis Voegels
author_facet	Rogério Pezato Camila Dassi Aldo Cassol Stamm Richard Louis Voegels
author_sort	Rogério Pezato
title	New Nasopharyngeal Flap for Posterior Skull-Base Reconstruction: The Upper-Tongue Flap
title_short	New Nasopharyngeal Flap for Posterior Skull-Base Reconstruction: The Upper-Tongue Flap
title_full	New Nasopharyngeal Flap for Posterior Skull-Base Reconstruction: The Upper-Tongue Flap
title_fullStr	New Nasopharyngeal Flap for Posterior Skull-Base Reconstruction: The Upper-Tongue Flap
title_full_unstemmed	New Nasopharyngeal Flap for Posterior Skull-Base Reconstruction: The Upper-Tongue Flap
title_sort	new nasopharyngeal flap for posterior skull-base reconstruction: the upper-tongue flap
publisher	Thieme Revinter Publicações Ltda.
publishDate	2021
url	https://doaj.org/article/9aa86a06c1e542f38b8203e5f32276fc
work_keys_str_mv	AT rogeriopezato newnasopharyngealflapforposteriorskullbasereconstructiontheuppertongueflap AT camiladassi newnasopharyngealflapforposteriorskullbasereconstructiontheuppertongueflap AT aldocassolstamm newnasopharyngealflapforposteriorskullbasereconstructiontheuppertongueflap AT richardlouisvoegels newnasopharyngealflapforposteriorskullbasereconstructiontheuppertongueflap
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New Nasopharyngeal Flap for Posterior Skull-Base Reconstruction: The Upper-Tongue Flap

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