Endoscopic appearance of a healed skull base resection reconstructed with a pedicled nasoseptal flap

October 23, 2013
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Rhinoscopic Clinic

Expanded endonasal approaches to the skull base are becoming more common, and closure of CSF leaks with reliable separation of the sinonasal tract from the cranial cavity is critical to a successful outcome.

An 80-year-old woman presented with right-sided epistaxis of several months' duration. A mass was noted in the right nasal cavity (figure 1, A), and biopsy demonstrated squamous cell carcinoma. She underwent complete endoscopic resection of the tumor, including the overlying dura. The skull base defect extended from the posterior table of the frontal sinus to the posterior cribriform plate and included the superior nasal septum.

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