• Users Online: 556
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2013  |  Volume : 29  |  Issue : 3  |  Page : 159-165

Endoscopic reconstruction of skull base defects using a nasal septal flap in paediatric patients

1 Department of Otolaryngology, Cairo University, Cairo, Egypt
2 Department of Otorhinolaryngology, October 6 University, Cairo, Egypt

Correspondence Address:
Hossam M. El-Bosraty
MD, Department of Otolaryngology, Faculty of Medicine, October 6 University, Giza
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.7123/01.EJO.0000430372.33447.f7

Rights and Permissions


The repair of skull base defects after skull base surgeries is a major problem. Postoperative cerebrospinal fluid leak in reconstruction of the anterior skull base defect using a nasal septal flap was minimal when compared with other techniques.

The nasal septal flap should be considered as the first line of treatment after transnasal endoscopic skull base surgery.


Evaluation of the usefulness and reliability of endoscopic endonasal skull base reconstruction using a nasal septal flap.

Patients and methods

This study was carried out on 10 paediatric patients with skull base defects because of different pathologies. These patients were admitted in El-Kasr El-Ainy Hospital, Otorhinolaryngology Department. These patients included one patient with a germ cell tumour, five patients with a congenital encephalocele and four patients with skull base defects because of trauma to the skull base.

Results and conclusion

Various endoscopic techniques have been described to separate the cranial cavity from the sinonasal cavity to prevent infection, pneumocephalus and cerebrospinal fluid leak. Different techniques were used to close the anterior skull base defects such as multilayer free graft, suturing the dural defect combined with free graft and reconstruction based on a vascularized graft. The nasal septal flap should be considered as the first line of treatment after transnasal endoscopic skull base resections.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded122    
    Comments [Add]    

Recommend this journal