鼻内镜下可用的带血管蒂组织瓣文献综述

Reconstruction of the cranial base following endoscopic endonasal skull base surgery:vascularized flaps

鼻内镜颅底外科术后隔绝颅腔与鼻腔的交通是该学科发展面对的挑战之一,近年利用带血管蒂组织瓣,经内镜手术入路修复颅底缺损获得满意疗效。颅底局部性和区域性带血管蒂组织瓣,修复范围广泛、取材方便、抗感染性强、易于成活,是修复颅底缺损的最佳选择。本文对内镜下修复颅底常用带血管蒂组织瓣进行综述。

An appropriate reconstruction for the cranial base strives to recreate a separation of the cranial cavity from the sinonasal cavity,which has introduced new challenges following endonasal skull base surgery.Outcomes after an endoscopic endonasal approach（EEA） for skull base resection depending on vascularized tissue reconstruction are ideal.Local tissue flaps and regional tissue flaps are the first option for reconstruction of the cranial base,because of the characteristic of a more extension,convenience,reliability and robustness.Therefore,the vascularized flaps for skull base reconstruction were reviewed.