Title :

Failure of anterior skull base reconstruction for sinonasal carcinoma: consequence on the postoperative follow up. A multicentre evaluation of management

Author(s) :

Saroul, Nicolas [Auteur]
Service ORL - Chirurgie Cervico-Faciale [CHU Clermont-Ferrand]
Rumeau, Cecile [Auteur]
Service d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale [CHRU Nancy]
Verillaud, Benjamin [Auteur]
Service d'oto-rhino-laryngologie
Hôpital Lariboisière-Fernand-Widal [APHP]
Patron, Vincent [Auteur]
Service d'Oto-Rhino-Laryngologie (O.R.L.) et de Chirurgie Cervico-Faciale [CHU Caen]
Righini, Christian [Auteur]
Service d'ORL et de chirurgie cervicale
Centre Hospitalier Universitaire [CHU Grenoble] [CHUGA]
De Bonnecaze, Guillaume [Auteur]
Service Oto-Rhino-Laryngologie (ORL) et chirurgie cervico-faciale [CHU Toulouse]
Daveau, Clementine [Auteur]
Département de Neuroradiologie [Centre Hospitalier Lyon Sud - HCL]
Mortuaire, Geoffrey [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Institute for Translational Research in Inflammation - U 1286 [INFINITE]
Mom, Thierry [Auteur]
Service ORL - Chirurgie Cervico-Faciale [CHU Clermont-Ferrand]
Gilain, Laurent [Auteur]
Service ORL - Chirurgie Cervico-Faciale [CHU Clermont-Ferrand]
Pereira, Bruno [Auteur]
Direction de la Recherche Clinique et de l’Innovation [CHU Clermont-Ferrand] [DRCI]
Montrieul, Laura [Auteur]
Service Chirurgie Maxillo-Faciale et Chirurgie Plastique [CHU Clermont-Ferrand]

Journal title :

Acta Oto-laryngologica

Abbreviated title :

Acta Otolaryngol

Pages :

1-5

Publication date :

2021-05-04

ISSN :

1651-2251

Keyword(s) :

anterior skull base reconstruction failure
CSF Leak
Watertight closure of anterior skull base
sinonasal carcinoma

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Numerous techniques for closure of the anterior skull base in cancer patients have a high success rate but management of failure is poorly documented. To standardize the post-operative follow-up after reconstruction surgery ...
Show more >Numerous techniques for closure of the anterior skull base in cancer patients have a high success rate but management of failure is poorly documented. To standardize the post-operative follow-up after reconstruction surgery of the anterior skull base after removal for sinonasal carcinoma. Retrospective review of failure of anterior skull base reconstruction between 2005 and 2018 in a multicenter setting. Twenty four patients were included. Reconstruction failure was detected by a cerebrospinal (CSF) leak in 79.2%, by an infectious complication without CSF leak (i.e. meningitis) in 12.5%, and in 8.3% by extensive pneumocephalus. Failure was observed during the first week after surgery in 75% of patients, in the second week in 21%, and in 4% after day 15. The delay in discovery of the failure was associated with multilayer reconstruction (p After carcinologic resection of the anterior skull base, monitoring should be systematic during the first postoperative week. Surgical management of failure is not always necessary.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Inserm
Université de Lille

Collections :

• Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286

Submission date :

2021-07-06T12:50:43Z
2024-03-05T11:04:10Z