A unilateral septal flap based on the anterior ethmoidal artery (Castelnuovo’s flap): CT cadaver study
Objective We describe our experience for repair septal perforation with a septal flap and we analyse the route of the septal branch of the anterior ethmoidal artery (AEA) in the septum area with a radiological anatomy study in order to perform this flap. Study design We carry out a prospective analy...
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| Veröffentlicht in: | Surgical and radiologic anatomy (English ed.) 2016-08, Vol.38 (6), p.723-728 |
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| creator | Gras-Cabrerizo, Juan R. García-Garrigós, Elena Ademá-Alcover, Joan M. Sarandeses-Garcia, Adolfo Martel-Martin, Maria Montserrat-Gili, Joan R. Gras-Albert, Juan R. Massegur-Solench, Humbert |
| description | Objective
We describe our experience for repair septal perforation with a septal flap and we analyse the route of the septal branch of the anterior ethmoidal artery (AEA) in the septum area with a radiological anatomy study in order to perform this flap.
Study design
We carry out a prospective analysis with computed tomography scan in the cadaver heads and we perform an endoscopic technique in the patients.
Methods
Ten nasal cavities were analysed in five adult cadaveric heads and two patients diagnosed with anterior septal perforation were surgically treated. Measurements in the cadaveric heads were obtained from a sagittal plane of the nasal septum. The anterior point corresponds to the projection of the anterior insertion of the middle turbinate in the frontal process of the maxilla over the nasal septum. The posterior point was obtained with a vertical line passing through the entrance of the AEA in the nasal septum.
Results
The mean distance between the anterior point and the posterior point was 7.35 mm with a standard deviation of 0.95 mm. The lowest value was 5.5 mm and the highest value was 8.7 mm. We observed good epithelialisation and closure of the perforation in all patients.
Conclusion
The unilateral septal flap pedicle by anterior ethmoidal artery may be used for small and medium perforations with a pedicle smaller than 1 cm posterior to the axilla. |
| doi_str_mv | 10.1007/s00276-015-1610-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1807540969</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1926826202</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-552ac352e27327a701a319c6f6508d244dbb3fe7ef982dfdd6c0b169d3bce35b3</originalsourceid><addsrcrecordid>eNp1kc9uFDEMxiMEokvhAbigSFzKYaidTJIJt2rFP6kSl3KOMhMPO9XsZElmKu2tr8Hr8STNdgtClThZtn_-bPlj7DXCewQw5xlAGF0Bqgo1QmWfsBUKY6tGoXnKVmAlVAiyOWEvcr4GAIXYPGcnQpu6ZLBimwu-TMPoZ0p-5Jl2cwn96He89ZkCjxOfN8T9VIAhJk7zZhuHUCCfSmnPz9Y-zzROS7yJv29_5fvhdx_4-op3PvgbSjzPS9i_ZM96P2Z69RBP2fdPH6_WX6rLb5-_ri8uq66WzVwpJXwnlSBhpDDeAHqJttO9VtAEUdehbWVPhnrbiNCHoDtoUdsg246kauUpOzvq7lL8uVCe3XbIHY2jnygu2WEDRtVgtS3o20fodVzSVK5zaIVuhBYgCoVHqksx50S926Vh69PeIbiDDe5ogys2uIMN7qD85kF5abcU_k78-XsBxBHIpTX9oPTP6v-q3gGxtJLf</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1926826202</pqid></control><display><type>article</type><title>A unilateral septal flap based on the anterior ethmoidal artery (Castelnuovo’s flap): CT cadaver study</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Gras-Cabrerizo, Juan R. ; García-Garrigós, Elena ; Ademá-Alcover, Joan M. ; Sarandeses-Garcia, Adolfo ; Martel-Martin, Maria ; Montserrat-Gili, Joan R. ; Gras-Albert, Juan R. ; Massegur-Solench, Humbert</creator><creatorcontrib>Gras-Cabrerizo, Juan R. ; García-Garrigós, Elena ; Ademá-Alcover, Joan M. ; Sarandeses-Garcia, Adolfo ; Martel-Martin, Maria ; Montserrat-Gili, Joan R. ; Gras-Albert, Juan R. ; Massegur-Solench, Humbert</creatorcontrib><description>Objective
We describe our experience for repair septal perforation with a septal flap and we analyse the route of the septal branch of the anterior ethmoidal artery (AEA) in the septum area with a radiological anatomy study in order to perform this flap.
Study design
We carry out a prospective analysis with computed tomography scan in the cadaver heads and we perform an endoscopic technique in the patients.
Methods
Ten nasal cavities were analysed in five adult cadaveric heads and two patients diagnosed with anterior septal perforation were surgically treated. Measurements in the cadaveric heads were obtained from a sagittal plane of the nasal septum. The anterior point corresponds to the projection of the anterior insertion of the middle turbinate in the frontal process of the maxilla over the nasal septum. The posterior point was obtained with a vertical line passing through the entrance of the AEA in the nasal septum.
Results
The mean distance between the anterior point and the posterior point was 7.35 mm with a standard deviation of 0.95 mm. The lowest value was 5.5 mm and the highest value was 8.7 mm. We observed good epithelialisation and closure of the perforation in all patients.
Conclusion
The unilateral septal flap pedicle by anterior ethmoidal artery may be used for small and medium perforations with a pedicle smaller than 1 cm posterior to the axilla.</description><identifier>ISSN: 0930-1038</identifier><identifier>EISSN: 1279-8517</identifier><identifier>DOI: 10.1007/s00276-015-1610-9</identifier><identifier>PMID: 26740000</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject><![CDATA[Adult ; Anatomy ; Anatomy & physiology ; Bone ; Cadaver ; Cadavers ; Cavities ; Computed tomography ; Endoscopy - instrumentation ; Endoscopy - methods ; Ethmoid Sinus - blood supply ; Ethmoid Sinus - diagnostic imaging ; Humans ; Imaging ; Male ; Maxilla ; Maxilla - anatomy & histology ; Maxilla - diagnostic imaging ; Medicine ; Medicine & Public Health ; Nasal Cavity - diagnostic imaging ; Nasal Septal Perforation - diagnostic imaging ; Nasal Septal Perforation - surgery ; Nasal Septum - blood supply ; Nasal Septum - diagnostic imaging ; Nose ; Ophthalmic Artery - anatomy & histology ; Ophthalmic Artery - diagnostic imaging ; Original Article ; Orthopedics ; Prospective Studies ; Radiology ; Septum ; Surgery ; Surgical Flaps - blood supply ; Tomography ; Tomography, X-Ray Computed ; Turbinates - anatomy & histology ; Turbinates - diagnostic imaging ; Veins & arteries]]></subject><ispartof>Surgical and radiologic anatomy (English ed.), 2016-08, Vol.38 (6), p.723-728</ispartof><rights>Springer-Verlag France 2016</rights><rights>Surgical and Radiologic Anatomy is a copyright of Springer, 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-552ac352e27327a701a319c6f6508d244dbb3fe7ef982dfdd6c0b169d3bce35b3</citedby><cites>FETCH-LOGICAL-c438t-552ac352e27327a701a319c6f6508d244dbb3fe7ef982dfdd6c0b169d3bce35b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00276-015-1610-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00276-015-1610-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26740000$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gras-Cabrerizo, Juan R.</creatorcontrib><creatorcontrib>García-Garrigós, Elena</creatorcontrib><creatorcontrib>Ademá-Alcover, Joan M.</creatorcontrib><creatorcontrib>Sarandeses-Garcia, Adolfo</creatorcontrib><creatorcontrib>Martel-Martin, Maria</creatorcontrib><creatorcontrib>Montserrat-Gili, Joan R.</creatorcontrib><creatorcontrib>Gras-Albert, Juan R.</creatorcontrib><creatorcontrib>Massegur-Solench, Humbert</creatorcontrib><title>A unilateral septal flap based on the anterior ethmoidal artery (Castelnuovo’s flap): CT cadaver study</title><title>Surgical and radiologic anatomy (English ed.)</title><addtitle>Surg Radiol Anat</addtitle><addtitle>Surg Radiol Anat</addtitle><description>Objective
We describe our experience for repair septal perforation with a septal flap and we analyse the route of the septal branch of the anterior ethmoidal artery (AEA) in the septum area with a radiological anatomy study in order to perform this flap.
Study design
We carry out a prospective analysis with computed tomography scan in the cadaver heads and we perform an endoscopic technique in the patients.
Methods
Ten nasal cavities were analysed in five adult cadaveric heads and two patients diagnosed with anterior septal perforation were surgically treated. Measurements in the cadaveric heads were obtained from a sagittal plane of the nasal septum. The anterior point corresponds to the projection of the anterior insertion of the middle turbinate in the frontal process of the maxilla over the nasal septum. The posterior point was obtained with a vertical line passing through the entrance of the AEA in the nasal septum.
Results
The mean distance between the anterior point and the posterior point was 7.35 mm with a standard deviation of 0.95 mm. The lowest value was 5.5 mm and the highest value was 8.7 mm. We observed good epithelialisation and closure of the perforation in all patients.
Conclusion
The unilateral septal flap pedicle by anterior ethmoidal artery may be used for small and medium perforations with a pedicle smaller than 1 cm posterior to the axilla.</description><subject>Adult</subject><subject>Anatomy</subject><subject>Anatomy & physiology</subject><subject>Bone</subject><subject>Cadaver</subject><subject>Cadavers</subject><subject>Cavities</subject><subject>Computed tomography</subject><subject>Endoscopy - instrumentation</subject><subject>Endoscopy - methods</subject><subject>Ethmoid Sinus - blood supply</subject><subject>Ethmoid Sinus - diagnostic imaging</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Maxilla</subject><subject>Maxilla - anatomy & histology</subject><subject>Maxilla - diagnostic imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nasal Cavity - diagnostic imaging</subject><subject>Nasal Septal Perforation - diagnostic imaging</subject><subject>Nasal Septal Perforation - surgery</subject><subject>Nasal Septum - blood supply</subject><subject>Nasal Septum - diagnostic imaging</subject><subject>Nose</subject><subject>Ophthalmic Artery - anatomy & histology</subject><subject>Ophthalmic Artery - diagnostic imaging</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Septum</subject><subject>Surgery</subject><subject>Surgical Flaps - blood supply</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><subject>Turbinates - anatomy & histology</subject><subject>Turbinates - diagnostic imaging</subject><subject>Veins & arteries</subject><issn>0930-1038</issn><issn>1279-8517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kc9uFDEMxiMEokvhAbigSFzKYaidTJIJt2rFP6kSl3KOMhMPO9XsZElmKu2tr8Hr8STNdgtClThZtn_-bPlj7DXCewQw5xlAGF0Bqgo1QmWfsBUKY6tGoXnKVmAlVAiyOWEvcr4GAIXYPGcnQpu6ZLBimwu-TMPoZ0p-5Jl2cwn96He89ZkCjxOfN8T9VIAhJk7zZhuHUCCfSmnPz9Y-zzROS7yJv29_5fvhdx_4-op3PvgbSjzPS9i_ZM96P2Z69RBP2fdPH6_WX6rLb5-_ri8uq66WzVwpJXwnlSBhpDDeAHqJttO9VtAEUdehbWVPhnrbiNCHoDtoUdsg246kauUpOzvq7lL8uVCe3XbIHY2jnygu2WEDRtVgtS3o20fodVzSVK5zaIVuhBYgCoVHqksx50S926Vh69PeIbiDDe5ogys2uIMN7qD85kF5abcU_k78-XsBxBHIpTX9oPTP6v-q3gGxtJLf</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Gras-Cabrerizo, Juan R.</creator><creator>García-Garrigós, Elena</creator><creator>Ademá-Alcover, Joan M.</creator><creator>Sarandeses-Garcia, Adolfo</creator><creator>Martel-Martin, Maria</creator><creator>Montserrat-Gili, Joan R.</creator><creator>Gras-Albert, Juan R.</creator><creator>Massegur-Solench, Humbert</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20160801</creationdate><title>A unilateral septal flap based on the anterior ethmoidal artery (Castelnuovo’s flap): CT cadaver study</title><author>Gras-Cabrerizo, Juan R. ; García-Garrigós, Elena ; Ademá-Alcover, Joan M. ; Sarandeses-Garcia, Adolfo ; Martel-Martin, Maria ; Montserrat-Gili, Joan R. ; Gras-Albert, Juan R. ; Massegur-Solench, Humbert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-552ac352e27327a701a319c6f6508d244dbb3fe7ef982dfdd6c0b169d3bce35b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Anatomy</topic><topic>Anatomy & physiology</topic><topic>Bone</topic><topic>Cadaver</topic><topic>Cadavers</topic><topic>Cavities</topic><topic>Computed tomography</topic><topic>Endoscopy - instrumentation</topic><topic>Endoscopy - methods</topic><topic>Ethmoid Sinus - blood supply</topic><topic>Ethmoid Sinus - diagnostic imaging</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Maxilla</topic><topic>Maxilla - anatomy & histology</topic><topic>Maxilla - diagnostic imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nasal Cavity - diagnostic imaging</topic><topic>Nasal Septal Perforation - diagnostic imaging</topic><topic>Nasal Septal Perforation - surgery</topic><topic>Nasal Septum - blood supply</topic><topic>Nasal Septum - diagnostic imaging</topic><topic>Nose</topic><topic>Ophthalmic Artery - anatomy & histology</topic><topic>Ophthalmic Artery - diagnostic imaging</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Septum</topic><topic>Surgery</topic><topic>Surgical Flaps - blood supply</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><topic>Turbinates - anatomy & histology</topic><topic>Turbinates - diagnostic imaging</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gras-Cabrerizo, Juan R.</creatorcontrib><creatorcontrib>García-Garrigós, Elena</creatorcontrib><creatorcontrib>Ademá-Alcover, Joan M.</creatorcontrib><creatorcontrib>Sarandeses-Garcia, Adolfo</creatorcontrib><creatorcontrib>Martel-Martin, Maria</creatorcontrib><creatorcontrib>Montserrat-Gili, Joan R.</creatorcontrib><creatorcontrib>Gras-Albert, Juan R.</creatorcontrib><creatorcontrib>Massegur-Solench, Humbert</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gras-Cabrerizo, Juan R.</au><au>García-Garrigós, Elena</au><au>Ademá-Alcover, Joan M.</au><au>Sarandeses-Garcia, Adolfo</au><au>Martel-Martin, Maria</au><au>Montserrat-Gili, Joan R.</au><au>Gras-Albert, Juan R.</au><au>Massegur-Solench, Humbert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A unilateral septal flap based on the anterior ethmoidal artery (Castelnuovo’s flap): CT cadaver study</atitle><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle><stitle>Surg Radiol Anat</stitle><addtitle>Surg Radiol Anat</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>38</volume><issue>6</issue><spage>723</spage><epage>728</epage><pages>723-728</pages><issn>0930-1038</issn><eissn>1279-8517</eissn><abstract>Objective
We describe our experience for repair septal perforation with a septal flap and we analyse the route of the septal branch of the anterior ethmoidal artery (AEA) in the septum area with a radiological anatomy study in order to perform this flap.
Study design
We carry out a prospective analysis with computed tomography scan in the cadaver heads and we perform an endoscopic technique in the patients.
Methods
Ten nasal cavities were analysed in five adult cadaveric heads and two patients diagnosed with anterior septal perforation were surgically treated. Measurements in the cadaveric heads were obtained from a sagittal plane of the nasal septum. The anterior point corresponds to the projection of the anterior insertion of the middle turbinate in the frontal process of the maxilla over the nasal septum. The posterior point was obtained with a vertical line passing through the entrance of the AEA in the nasal septum.
Results
The mean distance between the anterior point and the posterior point was 7.35 mm with a standard deviation of 0.95 mm. The lowest value was 5.5 mm and the highest value was 8.7 mm. We observed good epithelialisation and closure of the perforation in all patients.
Conclusion
The unilateral septal flap pedicle by anterior ethmoidal artery may be used for small and medium perforations with a pedicle smaller than 1 cm posterior to the axilla.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>26740000</pmid><doi>10.1007/s00276-015-1610-9</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Surgical and radiologic anatomy (English ed.), 2016-08, Vol.38 (6), p.723-728 |
| issn | 0930-1038 1279-8517 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Anatomy Anatomy & physiology Bone Cadaver Cadavers Cavities Computed tomography Endoscopy - instrumentation Endoscopy - methods Ethmoid Sinus - blood supply Ethmoid Sinus - diagnostic imaging Humans Imaging Male Maxilla Maxilla - anatomy & histology Maxilla - diagnostic imaging Medicine Medicine & Public Health Nasal Cavity - diagnostic imaging Nasal Septal Perforation - diagnostic imaging Nasal Septal Perforation - surgery Nasal Septum - blood supply Nasal Septum - diagnostic imaging Nose Ophthalmic Artery - anatomy & histology Ophthalmic Artery - diagnostic imaging Original Article Orthopedics Prospective Studies Radiology Septum Surgery Surgical Flaps - blood supply Tomography Tomography, X-Ray Computed Turbinates - anatomy & histology Turbinates - diagnostic imaging Veins & arteries |
| title | A unilateral septal flap based on the anterior ethmoidal artery (Castelnuovo’s flap): CT cadaver study |
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