Sinonasal outcomes following endoscopic anterior skull base surgery with nasoseptal flap reconstruction: a prospective study

The Journal of Laryngology and Otology
M HansonB Wallwork

Abstract

To assess nasal morbidity resulting from nasoseptal flap use in the repair of skull base defects in endoscopic anterior skull base surgery. Thirty-six patients awaiting endoscopic anterior skull base surgery were prospectively recruited. A nasoseptal flap was used for reconstruction in all cases. Patients were assessed pre-operatively and 90 days post-operatively via the Sino-Nasal Outcome Test 20 questionnaire and visual analogue scales for nasal obstruction, pain, secretions and smell; endoscopic examination findings and mucociliary clearance times were also recorded. Sino-Nasal Outcome Test 20 questionnaire data and visual analogue scale scores for pain, smell and secretions showed no significant differences between pre- and post-operative outcomes, with visual analogue scale scores for nasal obstruction actually showing a significant improvement (p = 0.0007). A significant deterioration for both flap and non-flap sides was demonstrated post-operatively on endoscopic examination (p = 0.002 and p = 0.02 respectively). Whilst elevation of a nasoseptal flap in endoscopic surgery of the anterior skull base engendered significant clinical deterioration on examination post-operatively, quality of life outcomes showed that no such ...Continue Reading

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Citations

Dec 22, 2015·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·Elena RiojaIsam Alobid
Jul 1, 2017·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·D A Gol'bin, S N Mindlin
Dec 7, 2017·Current Opinion in Otolaryngology & Head and Neck Surgery·Madeleine R Schaberg
Sep 2, 2017·American Journal of Rhinology & Allergy·Michael B SoykaDavid Holzmann
Sep 19, 2017·The Journal of Laryngology and Otology·Roland Hettige, Claire Hopkins
Jul 23, 2019·International Forum of Allergy & Rhinology·Eric W WangCarl H Snyderman
May 8, 2020·JAMA Otolaryngology-- Head & Neck Surgery·Jake J LeeJohn S Schneider
Sep 12, 2020·Neurosurgical Review·Junhao ZhuChiyuan Ma
Aug 28, 2020·Frontiers in Oncology·Cathal John HannanMohsen Javadpour

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