A CASE REPORT: USING INFERIOR TURBINATE FLAP FOR RECONSTRUCTION OF ANTERIOR SKULL BASE DEFECT

Ngô Văn Công1,
1 Cho Ray Hospital

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Abstract

Introduce: Anterior skull base tumors which invade brain or nasal septum. After removing total tumor will cause large skull base defect. So, reconstruction of skull base defect is difficult. In this case, we use inferior turbinate flap with vascular pedicle. Methods: A case report which have tumor in his nose at Cho Ray hospital. The tumor invade into brain and nasal septum. Skull base defect was occurd after removing skull base tumor. His nasal septum did not exist because the tumor invade nasal septum. Then, we used inferior turbinate flap with vascular pedicle to cover skull base defect in his nose. Results: A patient have tumor in his nose. Result of pathology is squamous carcinoma. This tumor invades anterior skull base and brain. Beside, it destroys his nasal septum. We operated this case with expanded endoscopic sinus surgery. We reconstructed anterior skull base defect by multiple layers. And the inferior turbinate flap was used in this case because his nasal septum is destroyed by tumor. The result of surgery is successful. Conclusion: Using inferior turbinate flap to help a successful reconstruction of anterior skull defect. It is important in a process of skull base reconstruction. It is a flap which can is changed flap when nasoseptal flap is unavailable. The inferior turbinate flap is also flexible, easy using and vascular pedicle.

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References

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