Abstract
Arteries that supply the nasal septum and the lateral nasal wall include vessels that originate from the external carotid artery and from the internal carotid artery. A variety of local endonasal pedicle flaps can be used in different anatomical areas for endoscopic skull base reconstruction. The main flaps are based on terminal branches of the sphenopalatine artery and on anterior ethmoidal artery. This study will describe the anatomy of these vessels and their relationship with the main flaps.
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Drake L, Gray H (2008) Gray’s atlas of anatomy, 1st edn. Churchill Livingstone, Philadelphia
Lund VJ, Stammberger H, Fokkens WJ, Beale T, Bernal-Sprekelsen M, Eloy P, Georgalas C, Gerstenberger C, Hellings P, Herman P, Hosemann WG, Jankowski R, Jones N, Jorissen M, Leunig A, Onerci M, Rimmer J, Rombaux P, Simmen D, Tomazic PV, Tschabitscherr M, Welge-Luessen A (2014) European position paper on the anatomical terminology of the internal nose and paranasal sinuses. Rhinol Suppl 24:1–34
Dauber Wolfgang (2007) Feneis: Nomenclatura anatómica ilustrada/Wolfgang Dauber, 5th edn. Elsevier Masson, Barcelona
Gras-Cabrerizo JR, Ademá-Alcover JM, Gras-Albert JR, Kolanczak K, Montserrat-Gili JR, Mirapeix-Lucas R, Del Campo FS, Massegur-Solench H (2014) Anatomical and surgical study of the sphenopalatine artery branches. Eur Arch Otorhinolaryngol 271(7):1947–1951
Rosano G, Taschieri S, Gaudy JF, Del Fabbro M (2009) Maxillary sinus vascularization: a cadaveric study. J Craniofac Surg 20(3):940–943
Lee HY, Kim HU, Kim SS, Son EJ, Kim JW, Cho NH, Kim KS, Lee JG, Chung IH, Yoon JH (2002) Surgical anatomy of the sphenopalatine artery in lateral nasal wall. Laryngoscope 112(10):1813–1818
Gras-Cabrerizo JR, Gras-Albert JR, Monjas-Canovas I, García-Garrigós E, Montserrat-Gili JR, Sánchez del Campo F, Kolanczak K, Massegur-Solench H (2014) Pedicle flaps based on the sphenopalatine artery: anatomical and surgical study. Acta Otorrinolaringol Esp 65(4):242–248
Fortes FS, Carrau RL, Snyderman CH, Prevedello D, Vescan A, Mintz A, Gardner P, Kassam AB (2007) The posterior pedicle inferior turbinate flap: a new vascularized flap for skull base reconstruction. Laryngoscope 117(8):1329–1332
Harvey RJ, Sheahan PO, Schlosser RJ (2009) Inferior turbinate pedicle flap for endoscopic skull base defect repair. Am J Rhinol Allergy 23(5):522–526
Rivera-Serrano CM, Bassagaisteguy LH, Hadad G, Carrau RL, Kelly D, Prevedello DM, Fernandez-Miranda J, Kassam AB (2011) Posterior pedicle lateral nasal wall flap: new reconstructive technique for large defects of the skull base. Am J Rhinol Allergy 25(6):e212–e216
Vuyk HD, Versluis RJ (1988) The inferior turbinate flap for closure of septal perforations. Clin Otolaryngol Allied Sci 13:53–57
Murakami CS, Kriet JD, Ierokomos AP (1999) Nasal reconstruction using the inferior turbinate mucosal flap. Arch Facial Plast Surg 1:97–100
Penna V, Bannasch H, Stark GB (2007) The turbinate flap for oronasal fistula closure. Ann Plast Surg 59:679–681
Prevedello DM, Barges-Coll J, Fernandez-Miranda JC, Morera V, Jacobson D, Madhok R, dos Santos MC, Zanation A, Snyderman CH, Gardner P, Kassam AB, Carrau R (2009) Middle turbinate flap for skull base reconstruction: cadaveric feasibility study. Laryngoscope 119(11):2094–2098
Hanci D, Altun H (2015) Repair of nasal septal perforation using middle turbinate flap (monopedicled superiory based bone included conchal flap): a new unilateral middle turbinate mucosal flap technique. Eur Arch Otorhinolaryngol 272(7):1707–1712
Zhang X, Wang EW, Wei H, Shi J, Snyderman CH, Gardner PA, Fernandez-Miranda JC (2014) Anatomy of the posterior septal artery with surgical implications on the vascularized pedicled nasoseptal flap. Head Neck 37(10):1470–1476
Hadad G, Bassagasteguy L, Carrau RL, Mataza JC, Kassam A, Snyderman CH, Mintz A (2006) A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope 116(10):1882–1886
Suh JD, Chiu AG (2013) Sphenopalatine-derived pedicled flaps. Adv Otorhinolaryngol 74:56–63
Tang IP, Carrau RL, Otto BA, Prevedello DM, Kasemsiri P, Ditzel L, Muto J, Kapucu B, Kirsch C (2015) Technical nuances of commonly used vascularised flaps for skull base reconstruction. J Laryngol Otol 129(8):752–761
Chhabra N, Healy DY, Freitag SK, Bleier BS (2014) The nasoseptal flap for reconstruction of the medial and inferior orbit. Int Forum Allergy Rhinol 4(9):763–766
Monjas-Cánovas I, García-Garrigós E, Arenas-Jiménez JJ, Abarca-Olivas J, Sánchez-Del Campo F, Gras-Albert JR (2011) Radiological anatomy of the ethmoidal arteries: CT cadaver study. Acta Otorrinolaringol Esp 62(5):367–374
Lang J, Schäfer K (1979) Ethmoidal arteries: origin, course, regions supplied and anastomoses. Acta Anat (Basel) 104(2):183–197
Yang YX, Lu QK, Liao JC, Dang RS (2009) Morphological characteristics of the anterior ethmoidal artery in ethmoid roof and endoscopic localization. Skull Base 19(5):311–317
Gras-Cabrerizo JR, García-Garrigós E, Ademá-Alcover JM, Sarandeses-Garcia A, Martel-Martin M, Montserrat-Gili JR, Gras-Albert JR, Massegur-Solench H (2016) A unilateral septal flap based on the anterior ethmoidal artery (Castelnuovo’s flap): CT cadaver study. Surg Radiol Anat 38(6):723–728
Castelnuovo P, Ferreli F, Khodaei I, Palma P (2011) Anterior ethmoidal artery septal flap for the management of septal perforation. Arch Facial Plast Surg 13(6):411–414
Seyedhadi S, Mojtaba MA, Shahin B, Hoseinali K (2013) The Draf III septal flap technique: a preliminary report. Am J Otolaryngol 34(5):399–402
Hadad G, Rivera-Serrano CM, Bassagaisteguy LH, Carrau RL, Fernandez-Miranda J, Prevedello DM, Kassam AB (2011) Anterior pedicle lateral nasal wall flap: a novel technique for the reconstruction of anterior skull base defects. Laryngoscope 121(8):1606–1610
Amit M, Cohen J, Koren I, Gil Z (2013) Cadaveric study for skull base reconstruction using anteriorly based inferior turbinate flap. Laryngoscope 123(12):2940–2944
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Cadaveric specimens are given at the moment that the corpse enters at the anatomy institute for scientific investigation following the local laws.
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Gras-Cabrerizo, J.R., García-Garrigós, E., Montserrat-Gili, J.R. et al. Anatomical Correlation Between Nasal Vascularisation and the Design of the Endonasal Pedicle Flaps. Indian J Otolaryngol Head Neck Surg 70, 167–173 (2018). https://doi.org/10.1007/s12070-017-1197-z
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DOI: https://doi.org/10.1007/s12070-017-1197-z