Nasal floor free mucosal graft for skull base reconstruction and cerebrospinal fluid leak repair

Jeffrey D. Suh, Vijay R. Ramakrishnan, Adam S. DeConde

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Objectives: Donor sites for free mucosal grafts for endoscopic endonasal reconstruction of the skull base have traditionally included the middle turbinate, the inferior turbinate, and the nasal septum. The aim of this study was to demonstrate a free mucoperiosteal graft from the nasal cavity floor as a simple alternative donor site for mucosal grafts. Methods: In a cadaver study with clinical correlation, we performed endoscopic endonasal harvest of the nasal floor free mucosal graft on two sides of a cadaveric nasal cavity. We also describe the cases of two patients in whom a nasal floor free mucosal graft was used to repair a skull base defect. Results: The harvest of a nasal floor free mucosal graft is a quick, potentially less morbid method of obtaining free mucosal grafts. In the cases examined, use of this graft carried minimal morbidity and allowed for successful reconstruction of a skull base defect. Conclusions: Harvest of nasal floor mucosa is a technically simple method of obtaining free mucoperiosteum for reconstruction of the skull base.

Original languageEnglish (US)
Pages (from-to)91-95
Number of pages5
JournalAnnals of Otology, Rhinology and Laryngology
Volume121
Issue number2
DOIs
StatePublished - Feb 2012

Keywords

  • Cerebrospinal fluid rhinorrhea
  • Duraplasty
  • Free mucosal graft

ASJC Scopus subject areas

  • Otorhinolaryngology

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