Vascularized middle turbinate flap for the endoscopic endonasal reconstruction of the anterior olfactory groove.
Vascularized middle turbinate flap for the endoscopic endonasal reconstruction of the anterior olfactory groove.
复制标题
用于前嗅沟内镜鼻内重建的血管化中鼻甲瓣。
DOI：
10.1007/s10143-015-0688-1
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发表时间：
2016
期刊：
影响因子：
2.8
通讯作者：
Yoshida K.
中科院分区：
文献类型：
--
作者：
Tamura R;Toda M;Kohno M;Watanabe Y;Ozawa H;Tomita T;Ogawa K;Yoshida K.
带血管蒂的中鼻甲瓣（MTF）可用于修复前嗅沟病变。使用图像归档和通信系统（PACS）通过计算机断层扫描（CT）对20名患者的MTF和下鼻甲瓣（ITF）的尺寸以及这些到额底的距离进行了分析。重建颅底的最小皮瓣测量值定义为冠状面上从基板到MTF和ITF的内侧斜坡或外侧斜坡边缘的距离。接下来，我们回顾了3例接受内镜血管化MTF重建的硬脑膜缺损患者的临床资料。ITF到额底的距离明显大于MTF。冠状面CT测量的MTF的最小长度与到额底的距离相似。相比之下，ITF的最小长度比到额底的距离短。这些结果表明，MTF可能是上级ITF的前额叶基底的覆盖。3例因前嗅沟缺损接受MTF重建的患者结局良好，无并发症。MTF是重建嗅沟前部缺损的良好选择。
A vascularized middle turbinate flap (MTF) might be useful in the repair of lesions in the anterior olfactory groove. The sizes of the MTF and inferior turbinate flap (ITF) and these distances up to the frontal base were analyzed by computed tomography (CT) using a picture archiving and communication system (PACS) in 20 patients. The minimum flap measurement to reconstruct the skull base was defined as the distance from the basal plate to the medial slope or lateral slope edge of the MTF and the ITF on the coronal view. Next, we reviewed clinical data from three patients with dural deficits who underwent endoscopic vascularized MTF reconstruction. The distance to the frontal base from the ITF was significantly longer than that from the MTF. The minimum length of the MTF measured by coronal CT was similar to the distance to the frontal base. In contrast, the minimum length of the ITF was shorter than the distance to the frontal base. These results suggest that the MTF might be superior to the ITF for coverage of the anterior frontal base. Three patients who underwent MTF reconstruction for a defect in the anterior olfactory groove had good outcomes and no complications. The MTF is a good option for reconstruction of defects in the anterior part of the olfactory groove.