title: Reconstruction of the denuded nasoseptal flap donor site with a free fascia lata graft: technical note.
abstract: The nasoseptal flap provides hearty vascularized tissue for the reconstruction of skull base defects subsequent to expanded endonasal approaches; however, it leads to exposure of the cartilage at the septal donor site producing crusting and discomfort while it remucosalizes. We report an alternative technique to reconstruct the denuded nasal septal donor site by means of a free fascia lata graft. Fascia lata grafting of the nasoseptal flap donor site showed evidence of revascularization 4 weeks after initial surgery. Re-epithelialization was complete 4-12 weeks postoperation. Although the nasoseptal flap provides a versatile reconstructive technique, its harvest results in significant donor site morbidity. A free fascia lata graft accelerates the rate of donor site remucosalization; thus, decreasing the nasal complications.
authors.affiliation: Brain and Spinal Cord Injuries Repair Research Center (BASIR), Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Keshavarz Blv., Tehran, 1419733141, Iran. mzeinalizadeh@tums.ac.ir.|Department of Neurological Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. mzeinalizadeh@tums.ac.ir.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Zeinalizadeh
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Seyed Mousa
authors.initials: SM
authors.lastname: Sadrehosseini
authors.affiliation: Department of Neurological Surgery, John Wayne Cancer Institute at Saint John's Health Center, Santa Monica, CA, USA.
authors.forename: Garni
authors.initials: G
authors.lastname: Barkhoudarian
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Medical Center, Columbus, OH, USA.
authors.forename: Ricardo L
authors.initials: RL
authors.lastname: Carrau
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D019292:Skull Base Neoplasms / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D055815:Young Adult
keywords: Endoscopic skull base surgery; Fascia lata graft; Nasoseptal flap; Reconstruction; Septal flap donor site