How I do it: exoscopic minimally invasive pericranial flap harvest for endoscopic anterior skull base reconstruction

Markus K. H. Wiedmann; Johan Edvard Steineger; Daniel Dahlberg; Sinan Dheyauldeen

doi:10.1007/s00701-026-06828-0

March 13, 2026Acta NeurochirurgicaOpen Access

How I do it: exoscopic minimally invasive pericranial flap harvest for endoscopic anterior skull base reconstruction

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Key Points

The aim is to explore the benefits of using an exoscope for harvesting pericranial flaps in skull base surgery.
Utilization of an exoscope for flap harvest
Focus on ergonomics and visualization during the procedure
Assessment of donor-site morbidity
Achieves reliable orbit-to-orbit coverage of skull base defects
Low incidence of complications at the donor site
Effective when intranasal options are not viable

Implication

This method demonstrates effective coverage of skull base defects, indicating low complications for patients.

Abstract

Exoscope-assisted pericranial flap harvest provides excellent visualization, ergonomics, and flap control, enabling reliable orbit-to-orbit coverage of large anterior skull base defects with low donor-site morbidity when intranasal vascularized options are limited.

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Cite This Study

Wiedmann et al. (2026) studied this question.

synapsesocial.com/papers/69b79da78166e15b153aae2d https://doi.org/10.1007/s00701-026-06828-0

View Full Paper

Ask AI

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How I do it: exoscopic minimally invasive pericranial flap harvest for endoscopic anterior skull base reconstruction

Key Points

Implication

Abstract

Discussion

Cite This Study

How I do it: exoscopic minimally invasive pericranial flap harvest for endoscopic anterior skull base reconstruction

Key Points

Implication

Abstract

Discussion

Cite This Study

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