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Quality of life after endoscopic skull base surgery with a nasoseptal flap: a systematic review

Published online by Cambridge University Press:  10 January 2022

C H Gui Open the ORCID record for C H Gui [Opens in a new window]  and
A C Tham
C H Gui*
Affiliation:
Department of Otorhinolaryngology, Tan Tock Seng Hospital, Singapore
A C Tham
Affiliation:
Department of Otorhinolaryngology, Tan Tock Seng Hospital, Singapore
*
Author for correspondence: Dr Chuan Hao Gui, 11 Jalan Tan Tock Seng, Singapore308433 E-mail: guichuanhao@hotmail.sg
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Abstract

Background

The past two decades have seen a widespread adoption of endoscopic skull base surgery with the use of nasoseptal flaps. Attention has been diverted in recent times to evaluate the quality of life of these patients.

Objective

This systematic review aimed to evaluate the available literature to compare the quality of life after endoscopic skull base surgery with or without nasoseptal flaps.

Methods

This systemic review was conducted using PubMed, Embase and Cochrane Library databases for literature published after 2009.

Results

The majority of studies concluded that there was no statistically significant difference in the quality of life associated with the use of nasoseptal flaps. Post-operatively, more extensive surgery, peri-operative radiotherapy, smoking and younger age were associated with poorer quality of life.

Conclusion

While the use of nasoseptal flaps can have negative effects on patients’ quality of life in terms of sinonasal symptoms, this systematic review found no difference in quality of life associated with the use or non-use of a nasoseptal flap.

Keywords

Skull BaseSurgeryQuality Of LifeSurgical Flaps
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 12 , December 2022 , pp. 1164 - 1169
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr C H Gui takes responsibility for the integrity of the content of the paper

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