摘要：

近10年来，经鼻内镜手术的应用越来越广泛，脑脊液鼻漏是常见并发症之一，术中颅底重建至关重要，若处理不当，可增加颅内感染风险，甚至危及生命。近年发展起来的鼻腔带蒂黏膜瓣是一种可靠的颅底重建技术，可显著增加神经内镜到达前颅底、鞍区、鞍旁区域的成功率。本文拟就鼻腔带蒂黏膜瓣分类、手术适应证和禁忌证、手术要点、术后管理、并发症等方面进行综述。

关键词: 脑脊液鼻漏, 外科皮瓣, 鼻, 颅底, 修复外科手术, 综述

Abstract:

The wide popularization of endoscopic endonasal skull base surgical techniques has taken place in the last decade. One of the greatest challenges in mastering endoscopic skull base surgery is to prevent cerebrospinal fluid (CSF) rhinorrhea. CSF rhinorrhea increases intracranial infection and mortality rates. The introduction of nasal pedicled vascularized flaps for using in cranial base surgery has met with great success recently. The success of expanded endoscopic endonasal approaches to the anterior skull base, sellar and parasellar regions has been great advancement in reconstructive techniques. In this review, we will describe, in detail, the relevant anatomy, indications and contraindications, surgical technique, postoperative management and complications of nasal pedicled vascularized flaps.

Key words: Cerebrospinal fluid rhinorrhea, Surgical flaps, Nose, Skull base, Reconstructive surgical procedures, Review