gms | German Medical Science

63rd Annual Meeting of the German Society of Neurosurgery (DGNC)
Joint Meeting with the Japanese Neurosurgical Society (JNS)

German Society of Neurosurgery (DGNC)

13 - 16 June 2012, Leipzig

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

Meeting Abstract

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  • 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:nbn:de:0183-12dgnc3891

Published: June 4, 2012

© 2012 Krischek et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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.