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KMID : 0390220190300020270
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2019 Volume.30 No. 2 p.270 ~ p.275
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A Case of Endonasal Endoscopic Skull Base Repair Using Nasoseptal Flap after Revision Transsphenoidal Surgery for Pituitary Adenoma
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Cho Yong-Tae
Kim Ji-Sun
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Abstract
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Nasoseptal flap is the reliable reconstructive technique for skull base defect using nasal endoscope. It has been popular because of the hypervascularity as a pedicle flap, tolerable donor site morbidity and higher success rate than a free graft. Several studies shows the usefulness of nasoseptal flap although patients have the history of septal surgery including transsphenoidal pituitary surgery. This case report presents a 68 year old man with visu- al disturbance, which was diagnosed as recurrent pituitary adenoma and cured by transsphenoidal pituitary sur- gery with endoscopic endonasal skull base repair with nasoseptal flap. The authors introduce the case and review the consideration in performing nasoseptal flap for patients with the history of septal surgery.
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KEYWORD
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Nasoseptal flap, Skull base reconstruction, Pituitary adenoma
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