Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12857/115587
Title: Banked Fascia Lata in Sellar Dura Reconstruction after Endoscopic Transsphenoidal Skull Base Surgery
Authors: Fiorindi, Alessandro 
Gioffrè, Giorgio 
Boaro, Alessandro
Billeci, Domenico 
Frascaroli, Daniele
Sonego, Massimo
Longatti, Pierluigi 
Keywords: cerebrospinal fluid leak;endoscopic transsphenoidal surgery;fascia lata;sellar dura reconstruction;tissue bank
Keywords Plus: CEREBROSPINAL-FLUID LEAKS;ENDONASAL RESECTION;NASOSEPTAL FLAP;REPAIR;DEFECTS;COMPLICATIONS;SUBSTITUTE;RHINORRHEA;SERIES;TUMORS
Issue Date: Aug-2015
Publisher: THIEME MEDICAL PUBL INC
Journal: Journal of neurological surgery. Part B, Skull base 
Abstract: 
Objectives Cerebrospinal fluid (CSF) leakage is an undesirable complication of transsphenoidal skull base surgery. The issue of the most appropriate sellar dura repair remains unresolved, although a multilayer technique using autologous fascia lata is widely used. We describe the novel application of a homologous banked fascia lata graft as an alternative to an autologous one in the reconstruction of sellar dura defects in endoscopic transsphenoidal surgery. Design The clinical records of patients who underwent endoscopic transsphenoidal surgery at our department from June 2012, when we started using homologous fascia lata, up to July 2014 were reviewed retrospectively. The data concerning diagnosis, reconstruction technique, and surgical outcome were analyzed. Results We treated 16 patients successfully with banked fascia lata. Twelve patients presented intraoperative CSF leakage, and four patients were treated for postoperative rhinoliquorrhea. Banked fascia lata was used in a single-to-multilayer technique, depending on the anatomical features of the defect and of the sellar floor. No complications or failures in sella reconstruction occurred. Conclusion A banked fascia lata graft proved reliable and safe in providing an effective sellar dura reconstruction. Used in a multilayer strategy, it should be considered a viable alternative to an autologous fascia lata graft.
URI: http://hdl.handle.net/20.500.12857/115587
ISSN: 2193-6331
DOI: 10.1055/s-0035-1547364
Appears in Collections:Articles

Show full item record

PubMed Central
Citations 50

1
Last Week
0
Last month
checked on May 2, 2021

SCOPUSTM   
Citations 5

3
checked on Sep 1, 2020

WEB OF SCIENCETM
Citations

4
checked on Dec 4, 2021

Page view(s) 20

1
checked on Dec 6, 2021

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.