Modified reverse septal flap: A surgical hint.

Endoscopic resection with transnasal craniectomy (ERTC) and skull-base reconstruction (SBR) are effective techniques for sinonasal/skull-base malignancies treatment. Endoscopic endonasal SBR techniques are mainly based on homologue-free grafts with excellent outcomes, but alternative techniques can be used such as regional vascularized pedicled flaps or local pedicled flap-like Hadad-Bassagasteguy nasoseptal flap and the septal flip flap (SFF). The purpose of this article is to describe an inferiorly based septal flap aimed to promote mucosal healing and improve patients' quality of life.

Characterization of outcomes and practices utilized in the management of internal carotid artery injury not requiring definitive endovascular management.

Background: After internal carotid artery (ICA) injury during endoscopic skull base surgery, the majority of patients undergo ICA embolization or stenting to treat active extravasation or pseudoaneurysm development. However, management practices when embolization or stenting is not required have not been well described. The objective of this study was to determine how patients with ICA injury but no embolization, stenting, or ligation do long-term and ascertain the reconstruction methods utilized.