title: Mucocele formation under pedicled nasoseptal flap.
abstract: The pedicled nasoseptal flap has become an indispensible tool for the reconstruction of skull base defects. This flap is easily harvested, provides a large surface area of vascularized tissue, and has few reported complications. We describe the case of a 60-year-old man who underwent endoscopic, endonasal transsphenoidal surgery with septal flap reconstruction who developed a sphenoid sinus mucocele postoperatively. We also have reviewed the literature for similar findings and discuss this complication in the setting of pituitary surgery and endoscopic skull base repair. Although likely a rare occurrence, mucocele formation after septal flap reconstruction should be recognized and monitored with postoperative nasal endoscopy and radiologic imaging. Reoperation or mucocele drainage may be necessary if symptomatic or in cases of rapid enlargement.
authors: Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA. rvaezeafshar@ohns.stanford.edu
authors: Reza
authors: R
authors: Vaezeafshar
authors: Peter H
authors: PH
authors: Hwang
authors: Griffith
authors: G
authors: Harsh
authors: Justin H
authors: JH
authors: Turner
mesh_terms: D003937:Diagnosis, Differential; D004724:Endoscopy; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D009300:Nasal Septum / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D019291:Skull Base / Q000601:surgery*; D013101:Sphenoid Sinus; D013524:Surgical Flaps