Special considerations for nasoseptal flap use in children

Publication date: Available online 26 January 2019

Source: Operative Techniques in Otolaryngology-Head and Neck Surgery

Author(s): Edward C. Kuan, Ryan M. Carey, James N. Palmer, Nithin D. Adappa

The introduction of the vascularized pedicled nasoseptal flap has revolutionized endoscopic skull base surgery, providing a highly versatile option to repair even the most complex skull base defects. Though demonstrated with outstanding results in adult patients, there is limited experience in the pediatric population. Early investigation found that there are limitations in utilization of the nasoseptal flap in children due to craniofacial restrictions. More recently, these concerns have been mitigated, and nasoseptal flaps are reliably used in reconstructing even the largest skull base defects in the youngest patients. Preoperative planning and review of imaging and meticulous intraoperative dissection are essential for successful reconstructive outcomes.

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