Evidence map›Paper›PMID 33364390›Full record

ReviewLaryngoscope investigative otolaryngology2020

Vascular pedicled flaps for skull base defect reconstruction.

Wade R Gutierrez, Douglas M Bennion, Jarrett E Walsh, Scott R Owen

Open access · goldAbstract readReview
In one paragraph

Review in Laryngoscope investigative otolaryngology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
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  6. [Effectiveness of the middle turbinate flap for the treatment of spontaneous fistulas].Revista medica del Instituto Mexicano del Seguro Social · 2025
    Observational
  7. Article
  8. Article
  9. [Clinical analysis of resection and dura skull base reconstruction of cranionasal communication tumor in 31 cases].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024
    Article
  10. Pediatric sellar teratoma - Case report and review of the literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
  11. Article
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  16. Vascular pedicled flaps for skull base defect reconstruction.Laryngoscope investigative otolaryngology · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Wade R GutierrezMedical Scientist Training Program University of Iowa Carver College of Medicine Iowa City Iowa USA.ORCID https://orcid.org/0000-0002-0643-3566
Douglas M BennionDepartment of Otolaryngology-Head and Neck Surgery University of Iowa Hospitals and Clinics Iowa City Iowa USA.ORCID https://orcid.org/0000-0003-3394-7164
Jarrett E WalshDepartment of Otolaryngology-Head and Neck Surgery University of Iowa Hospitals and Clinics Iowa City Iowa USA.
Scott R OwenDepartment of Otolaryngology-Head and Neck Surgery University of Iowa Hospitals and Clinics Iowa City Iowa USA.
University of Iowa Hospitals and Clinics · USUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTechniques for reconstruction of skull base defects have advanced greatly since the introduction of the vascular pedicled nasoseptal flap in 2006. The objective of this review is to assess the current state of the field by examining both intranasal and extranasal techniques of vascular pedicled skull base defect repair, their indications and success rates, and novel techniques that are currently under investigation.

methodsA review of the literature describing the use of vascular pedicled flaps in skull base defect reconstruction was conducted using PubMed and Google Scholar.

resultsThe nasoseptal flap remains the most widely used vascular pedicled flap for endoscopic repair of skull base defects. Its ease of harvest, wide arch of rotation, and high success rates make it a popular choice among surgeons. Several variations including a "rescue" nasopseptal flap have been developed. Other less commonly used pedicled intranasal flaps include the middle turbinate flap and the posterior pedicled inferior turbinate flap. Additionally, several novel vascular pedicled flaps have been developed and tested in small cohorts of patients. Extranasal flaps such as the pericranial flap and the temporoparietal fascia flap are used less frequently than intranasal flaps. However, they remain valuable options for reconstruction in certain situations.

conclusionAdvancements continue to be made in the field of skull base defect reconstruction using vascular pedicled flaps. Though the nasoseptal flap remains the most widely utilized option, additional intranasal techniques continue to be developed and tested to optimize surgical outcomes and patient care. LEVEL OF EVIDENCE: NA.

Indexed as

endoscopic surgeryskull base reconstructionsurgical outcomessurgical techniquesvascular pedicled flaps

Identifiers

PMID33364390
PMCPMC7752068
OpenAlexW3092894881

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.