Updates in reconstruction of skull base defects

Devyani Lal, Rachel B. Cain

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Purpose of review: Skull base surgery has undergone a fundamental transformation with the development and rapid adoption of endoscopic endonasal expanded approaches. Defects created from these newer approaches have necessitated an evolution of novel reconstructive techniques, which are reviewed here. Recent findings: New reconstructive techniques continue to be developed for repairing surgical defects from endoscopic endonasal skull base resections. Improvisations also allow well known flaps to be used in these approaches. Long term outcomes from repair using some of these techniques are now becoming available. Summary: Endoscopic resection of previously unapproachable skull base lesions has become possible with advancements in technology, as well as reconstructive methods. These newer techniques may offer improved outcomes and lower morbidity over conventional surgery.

Original languageEnglish (US)
Pages (from-to)419-428
Number of pages10
JournalCurrent Opinion in Otolaryngology and Head and Neck Surgery
Issue number5
StatePublished - Oct 1 2014


  • Cranial base reconstruction
  • Endoscopic endonasal expanded approach
  • Inferior turbinate flap
  • Nasoseptal flap
  • Pericranial flap
  • Skull base reconstruction
  • Temporoparietal fascial flap

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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