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Mucocele formation under pedicled nasoseptal flap.

Vaezeafshar R, Hwang PH, Harsh G, Turner JH
Am J Otolaryngol. 2012 33 (5): 634-6

PMID: 22771247 · DOI:10.1016/j.amjoto.2012.05.003

The pedicled nasoseptal flap has become an indispensible tool for the reconstruction of skull base defects. This flap is easily harvested, provides a large surface area of vascularized tissue, and has few reported complications. We describe the case of a 60-year-old man who underwent endoscopic, endonasal transsphenoidal surgery with septal flap reconstruction who developed a sphenoid sinus mucocele postoperatively. We also have reviewed the literature for similar findings and discuss this complication in the setting of pituitary surgery and endoscopic skull base repair. Although likely a rare occurrence, mucocele formation after septal flap reconstruction should be recognized and monitored with postoperative nasal endoscopy and radiologic imaging. Reoperation or mucocele drainage may be necessary if symptomatic or in cases of rapid enlargement.

Copyright © 2012 Elsevier Inc. All rights reserved.

MeSH Terms (14)

Diagnosis, Differential Endoscopy Follow-Up Studies Humans Magnetic Resonance Imaging Male Middle Aged Mucocele Nasal Septum Paranasal Sinus Diseases Reconstructive Surgical Procedures Skull Base Sphenoid Sinus Surgical Flaps

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