Mucocele formation under pedicled nasoseptal flap

Reza Vaezeafshar, Peter H. Hwang, Griffith Harsh, Justin H. Turner

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)634-636
Number of pages3
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume33
Issue number5
DOIs
StatePublished - 2012
Externally publishedYes

ASJC Scopus subject areas

  • Otorhinolaryngology

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