폴리카프로락톤 지지체와 비중격 피판을 이용한 비강 경유 내시경 경접형동 수술 중 뇌척수액 누출 재건 2예

• 영문명: Two cases of cerebrospinal fluid leakage reconstruction with polycaprolactone-based mesh buttress and nasoseptal flap during endoscopic endonasal transsphenoidal surgery
• 발행기관: 대한두개저학회
• 저자명: 송은아(Eun A Song) 김성원(Sung Won Kim) 김수환(Soo Whan Kim) 김도현(Do Hyun Kim)
• 간행물 정보: 『대한두개저학회지』제16권 제2호, 82~87쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2021.09.30

영문 초록

In performing endoscopic endonasal transsphenoidal approach surgery, intraoperative cerebrospinal fluid (CSF) leakage frequently occurs. While a small amount of CSF leakage can be easily handled, in the case of a high flow or a large amount of CSF leak, simply applying a nasoseptal flap may cause flap failure due to flow pressure. The best buttress for this situation would be septal bone or fascia lata; however, it is difficult to use septal bone if it is thin or not sufficiently secured to cover the defect area or in the case of revision case and when donor morbidity is increased for fascia lata harvest. To address this concern, in this study, we report the cases of sellar floor reconstruction using a polycaprolactone-based mesh as buttress.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

키워드

Cerebrospinal fluid leak Skull base Postoperative complications Reconstructive surgical procedures Absorbable implants