Endoscopy-Assisted Iliotibial Tract Harvesting for Skull Base Reconstruction: Feasibility on a Cadaveric Model
- 22 March 2011
- journal article
- research article
- Published by Georg Thieme Verlag KG in Journal of Neurological Surgery Part B: Skull Base
- Vol. 21 (03), 185-188
- https://doi.org/10.1055/s-0031-1275260
Abstract
During the last years, multiple methods and a wide set of materials for skull base reconstruction have been described. In our experience, the ideal graft for duraplasty is the iliotibial tract due to its favorable characteristics in terms of thickness, pliability, and strength. In this report, we show the iliotibial tract-harvesting technique under endoscopic guidance with a minimally invasive approach using a cadaveric model. Two longitudinal incisions of 1 cm each were made at 4 cm down a line drawn between the anterior-superior iliac spine and the lateral margin of patella at the extremities of the middle third of the thigh. By using a set of instruments for endoscopic face-lifting, the graft was easily set up and harvested. The endoscopic approach is associated with less visible scars, but longer operative time in comparison with open traditional procedure. The pros and cons in terms of morbidity need to be evaluated by further studies on actual cases.Keywords
This publication has 10 references indexed in Scilit:
- Endoscopic Transnasal Craniectomy in the Management of Selected Sinonasal MalignanciesAmerican Journal of Rhinology and Allergy, 2010
- Middle turbinate flap for skull base reconstruction: Cadaveric feasibility studyThe Laryngoscope, 2009
- Endoscopic pedicled nasoseptal flap reconstruction for pediatric skull base defectsThe Laryngoscope, 2009
- Endoscopic Harvesting of Autogenous Fascia LataOphthalmic Plastic & Reconstructive Surgery, 2007
- The Posterior Pedicle Inferior Turbinate Flap: A New Vascularized Flap for Skull Base ReconstructionThe Laryngoscope, 2007
- Algorithm for Reconstruction After Endoscopic Pituitary and Skull Base SurgeryThe Laryngoscope, 2007
- A Novel Reconstructive Technique After Endoscopic Expanded Endonasal Approaches: Vascular Pedicle Nasoseptal FlapThe Laryngoscope, 2006
- Anatomical and biomechanical investigations of the iliotibial tractSurgical and Radiologic Anatomy, 2004
- Harvesting large fascia lata sheaths: a rational approach.2000
- Videoscopically assisted fascia lata harvest for the correction of recurrent ventral hernia.Southern Medical Journal, 1997