Complications of Nasoseptal Flap Reconstruction: A Systematic Review

Journal of Neurological Surgery. Part B, Skull Base
Philippe LavigneCarl H Snyderman

Abstract

Objective  The nasoseptal flap (NSF) is considered the primary vascularized flap for reconstruction of dural defects with endoscopic endonasal surgery (EES) of the skull base. However, the complications and morbidities associated with this reconstructive flap are poorly understood. This article presents a systematic review of the complications and morbidities related to the use of the NSF in skull base surgery. Method  A systematic review of the literature based on published guidelines was performed to identify potential complications and morbidities related to the NSF. The MEDLINE and Embase databases were searched from January 1, 1950 to February 5, 2018. Results  Twenty-seven articles were identified. Reported complications were as follows: NSF necrosis (4 studies; [0-1.3%]), mucocele formation (5 studies; [0-3.6%]), septal perforation (6 studies, [0-14.4%]), nasal dorsum collapse (2 studies, [0.7-5.8%]), effects on quality of life (QoL) (8 studies), and olfactory loss (11 studies). Conclusion  Although complications associated with the NSF may be underreported in the literature, the NSF appears to be a safe and reliable reconstructive flap in EES of the skull base.

Citations

Jul 30, 2019·International Forum of Allergy & Rhinology·Prashant N BhenswalaNicholas R Rowan
Jun 8, 2019·International Forum of Allergy & Rhinology·Justin McCormickBradford A Woodworth
Oct 31, 2019·International Forum of Allergy & Rhinology·Nicholas R RowanCarl H Snyderman
Mar 30, 2020·Journal of Neuro-oncology·Carl H SnydermanPaul A Gardner
Nov 26, 2019·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·T N Janakiram, Abhilasha Karunasagar
Jul 26, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Anat WengierAvraham Abergel
Sep 12, 2020·Neurosurgical Review·Junhao ZhuChiyuan Ma
Dec 29, 2020·Laryngoscope Investigative Otolaryngology·Wade R GutierrezScott R Owen
Feb 9, 2021·World Neurosurgery·Tam RamseyCarlos D Pinheiro-Neto
Mar 27, 2021·British Journal of Neurosurgery·Karan JollyShahzada Khuram Ahmed
Mar 11, 2021·World Neurosurgery·Daisuke MurakamiTakashi Nakagawa
Apr 28, 2021·Neurology India·Rakshith SrinivasaRini Luckose
Mar 11, 2021·Surgical and Radiologic Anatomy : SRA·Pedro Luis PlouPablo Ajler

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