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Reconstruction of the Denuded Nasoseptal Flap Donor Site With a Free Fascia Lata Graft: Technical Note Publisher Pubmed



Zeinalizadeh M1, 2 ; Sadrehosseini SM3 ; Barkhoudarian G4 ; Carrau RL5
Authors
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Authors Affiliations
  1. 1. Brain and Spinal Cord Injuries Repair Research Center (BASIR), Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Keshavarz Blv., Tehran, 1419733141, Iran
  2. 2. Department of Neurological Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Otolaryngology-Head and Neck Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Neurological Surgery, John Wayne Cancer Institute at Saint John’s Health Center, Santa Monica, CA, United States
  5. 5. Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Medical Center, Columbus, OH, United States

Source: European Archives of Oto-Rhino-Laryngology Published:2016


Abstract

The nasoseptal flap provides hearty vascularized tissue for the reconstruction of skull base defects subsequent to expanded endonasal approaches; however, it leads to exposure of the cartilage at the septal donor site producing crusting and discomfort while it remucosalizes. We report an alternative technique to reconstruct the denuded nasal septal donor site by means of a free fascia lata graft. Fascia lata grafting of the nasoseptal flap donor site showed evidence of revascularization 4 weeks after initial surgery. Re-epithelialization was complete 4–12 weeks postoperation. Although the nasoseptal flap provides a versatile reconstructive technique, its harvest results in significant donor site morbidity. A free fascia lata graft accelerates the rate of donor site remucosalization; thus, decreasing the nasal complications. © 2016, Springer-Verlag Berlin Heidelberg.