Comparison between Rescue Flap and Double Flap Technique

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dc.contributor.authorBenzer, Murat
dc.contributor.authorBiceroglu, Huseyin
dc.contributor.authorAtes, Murat Samet
dc.contributor.authorKaya, Isa
dc.contributor.authorOzgiray, Erkin
dc.contributor.authorMidilli, Rasit
dc.contributor.authorKarci, Bulent
dc.contributor.authorGode, Sercan
dc.date.accessioned2019-10-27T09:42:18Z
dc.date.available2019-10-27T09:42:18Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.description.abstractObjectives Endoscopic techniques in pituitary surgery lead to inevitable mucosal loss of the sphenoethmoidal recess and posterior nasal septum in the nasal cavity. There is no other comparative study between primary reconstruction of septal perforation and secondary healing in the literature. The aim of this study is to evaluate postoperative patient morbidity with or without posterior septal perforation in endonasal pituitary surgery by comparing two commonly used techniques: rescue and double nasoseptal flaps. Design Prospectively randomized study. Setting Tertiary academic center. Participants Sixty patients underwent endoscopic endonasal pituitary surgery. Main Outcomes and Measures Functional results (breathing) using visual analog scale (VAS), sphenoid sinusitis, presence of synechia, perforation in the posterior septum, and crusting in the sphenoethmoidal recess were assessed. Results Pre- and postoperative mean VAS scores were 71.67 +/- 11.47 and 67.67 +/- 9.71 mm in the intact septum group and 77.67 +/- 14.06 and 62.67 +/- 10.48 mm in the posterior septal perforation group. There was a significant difference between pre- and postoperative VAS values in all groups. There was significant worsening in both groups; worsening in VAS values was much higher in the posterior septal perforation group. In the posterior septal perforation group, much more crusting was seen. Conclusions This is the first study to compare the postoperative patient morbidity in endoscopic endonasal pituitary surgery with and without a posterior septal perforation. Reconstruction of the posterior septum along with less mucosal loss yields better postoperative nasal symptom score.en_US
dc.identifier.doi10.1055/s-0038-1673695
dc.identifier.endpage436en_US
dc.identifier.issn2193-6331
dc.identifier.issn2193-634X
dc.identifier.issn2193-6331en_US
dc.identifier.issn2193-634Xen_US
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage431en_US
dc.identifier.urihttps://doi.org/10.1055/s-0038-1673695
dc.identifier.urihttps://hdl.handle.net/11454/28751
dc.identifier.volume80en_US
dc.identifier.wosWOS:000477665600012en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherThieme Medical Publ Incen_US
dc.relation.ispartofJournal of Neurological Surgery Part B-Skull Baseen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectendoscopic approachen_US
dc.subjectdouble nasoseptal flapen_US
dc.subjectmorbidityen_US
dc.subjectpituitaryen_US
dc.subjectrescue flapen_US
dc.subjectseptal perforationen_US
dc.subjectvisual analog scaleen_US
dc.titleComparison between Rescue Flap and Double Flap Techniqueen_US
dc.typeArticleen_US

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