Sinonasal outcomes following endoscopic anterior skull base surgery with nasoseptal flap reconstruction: a prospective study

Hanson, M., Patel, P. M., Betz, C., Olson, S., Panizza, B. and Wallwork, B. (2015) Sinonasal outcomes following endoscopic anterior skull base surgery with nasoseptal flap reconstruction: a prospective study. Journal of Laryngology and Otology, 129 S3: S41-S46. doi:10.1017/S002221511500047X


Author Hanson, M.
Patel, P. M.
Betz, C.
Olson, S.
Panizza, B.
Wallwork, B.
Title Sinonasal outcomes following endoscopic anterior skull base surgery with nasoseptal flap reconstruction: a prospective study
Journal name Journal of Laryngology and Otology   Check publisher's open access policy
ISSN 1748-5460
0022-2151
Publication date 2015-07-01
Sub-type Article (original research)
DOI 10.1017/S002221511500047X
Open Access Status Not Open Access
Volume 129
Issue S3
Start page S41
End page S46
Total pages 6
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Collection year 2016
Language eng
Formatted abstract
Objective:  To assess nasal morbidity resulting from nasoseptal flap use in the repair of skull base defects in endoscopic anterior skull base surgery.

Methods:  Thirty-six patients awaiting endoscopic anterior skull base surgery were prospectively recruited. A nasoseptal flap was used for reconstruction in all cases. Patients were assessed pre-operatively and 90 days post-operatively via the Sino-Nasal Outcome Test 20 questionnaire and visual analogue scales for nasal obstruction, pain, secretions and smell; endoscopic examination findings and mucociliary clearance times were also recorded.

Results:  Sino-Nasal Outcome Test 20 questionnaire data and visual analogue scale scores for pain, smell and secretions showed no significant differences between pre- and post-operative outcomes, with visual analogue scale scores for nasal obstruction actually showing a significant improvement (p = 0.0007). A significant deterioration for both flap and non-flap sides was demonstrated post-operatively on endoscopic examination (p = 0.002 and p = 0.02 respectively).

Conclusion:  Whilst elevation of a nasoseptal flap in endoscopic surgery of the anterior skull base engendered significant clinical deterioration on examination post-operatively, quality of life outcomes showed that no such deterioration was subjectively experienced by the patient. In fact, there was significant nasal airway improvement following nasoseptal flap reconstruction.
Keyword Hypophysectomy
Natural orifice endoscopic surgery
Paranasal sinus disease
Pedicled flap
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 2 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 25 Aug 2015, 11:41:05 EST by System User on behalf of Scholarly Communication and Digitisation Service