Evidence map›Paper›PMID 39477862›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Modified salpingopharyngeus myomucosal flap: a novel technique for skull base reconstruction.

Michael Fadel, Mohammad Bilal Alsavaf, Eman H Salem, Ramazan Gun, Daniel M Prevedello, Kyle K Vankoevering, Douglas A Hardesty, Kathleen Kelly, Ricardo L Carrau

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Michael FadelDepartment of Otolaryngology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.ORCID http://orcid.org/0000-0003-0764-6763
Mohammad Bilal AlsavafDepartment of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, OH, USA.
Eman H SalemDepartment of Otolaryngology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Ramazan GunDepartment of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, OH, USA.
Daniel M PrevedelloDepartment of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, OH, USA.
Kyle K VankoeveringDepartment of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, OH, USA.
Douglas A HardestyDepartment of Neurological Surgery, Wexner Medical Center at The Ohio State University, Columbus, OH, USA.
Kathleen KellyDepartment of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, OH, USA.
Ricardo L CarrauDepartment of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, OH, USA. carraurl@gmail.com.ORCID http://orcid.org/0000-0003-3867-2032

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdvancements in endoscopic skull base surgery have enabled complex tumor resections, necessitating a variety of reliable reconstructive techniques to repair resultant defects. Vascularized flaps represent optimal options, but frequently used local pedicled intranasal flaps may be unavailable due to tumor invasion or prior surgery. This study applies a modification to the previously described salpingopharyngeus myomucosal flap (Dicle flap) with potential for its use in extensive endoscopic skull base surgery defect's repair.

methodsCadaveric dissections (n = 5) were performed utilizing endoscopic visualization to access the skull base via endonasal and transoral routes. A superiorly based posterior pharyngeal myomucosal flap along the salpingopharyngeus muscle was elevated off the superior pharyngeal constrictors, preserving their vascular pedicles. This combined flap could be 180 degrees transposed to reconstruct clival defects up to the sella turcica.

resultsThe modified salpingopharyngeus myomucosal flap (Modified Dicle flap) provided approximately 40 cm

conclusionThe modified Dicle flap offers a viable reconstructive option for extensive endoscopic endonasal skull base defects when commonly utilized vascularized flaps are unavailable. Further research on clinical cases is warranted to investigate postoperative function and refine techniques to minimize donor site morbidity. LEVEL OF EVIDENCE: Not applicable.

Indexed as

Natural Orifice Endoscopic SurgeryPharyngeal MusclesPlastic Surgery ProceduresSkull BaseSurgical FlapsHumansExtensive EEAModified Dicle flapPedicled flapsReconstructionSkull base

Identifiers

PMID39477862

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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.