The Endoscopic Buccal Fat Pad Flap for Closure of Skull Base Defects: A Report of 5 Cases

Authors

Daniel W. Flis, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.
John F. Burke, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California, USA. Electronic address: john.burke@ucsf.edu.
Arnau Benet, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California, USA.
Phillip Theodosopoulos, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California, USA.
Manish Aghi, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California, USA.
Ivan H. El-Sayed, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.

Document Type

Article

Abstract

OBJECTIVE: To demonstrate the clinical utility of the buccal fat pad flap (BFPF) for closing a variety of skull base defects. METHODS: A retrospective chart review of 5 consecutive patients who underwent endoscopic cranial base surgery with endoscopic harvest of BFPF pedicled along the internal maxillary artery for reconstruction of the skull base between October 2013 and November 2014. RESULTS: All 5 patients had complete take of the BFPFs with mucosalization on postoperative follow-up with no reported complications or cerebrospinal fluid leak. CONCLUSIONS: This is the first report on the application of endoscopic BFPF. Our experience suggests that this recently described flap is viable and a useful addition to the armamentarium of the skull base surgeon.

Medical Subject Headings

Adipose Tissue (surgery); Adult; Cheek (surgery); Child; Endoscopy (methods); Female; Follow-Up Studies; Humans; Male; Middle Aged; Plastic Surgery Procedures (methods); Retrospective Studies; Skull Base (diagnostic imaging, surgery); Skull Base Neoplasms (diagnostic imaging, surgery); Surgical Flaps; Treatment Outcome

Publication Date

2-1-2018

Publication Title

World neurosurgery

E-ISSN

1878-8769

Volume

110

First Page

e42

Last Page

e45

PubMed ID

28987843

Digital Object Identifier (DOI)

10.1016/j.wneu.2017.09.183

Recommended Citation

Flis, Daniel W.; Burke, John F.; Benet, Arnau; Theodosopoulos, Phillip; Aghi, Manish; and El-Sayed, Ivan H., "The Endoscopic Buccal Fat Pad Flap for Closure of Skull Base Defects: A Report of 5 Cases" (2018). Neurosurgery. 2148.
https://scholar.barrowneuro.org/neurosurgery/2148