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Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aims: Split cord malformations (SCM) are congenital anomalies of the spine. The spinal cord is divided into two hemicords in the vertical plane. With foot and spine deformities, the skin lesions on the midline, even at the level of the lesion, at the back are the main signs of SCM. It is divided into two types as Type I (Diastometamyelia) and Type 2 (Diplomyelia). We retrospectively reviewed our cases with SCM and presented our results. Methods: In our department, 27 cases of SCM in 2012-2018 were surgically treated. Of these, 23 were Type I, 4 were Type II. In type I SCM, the bone septum was removed, the hemicords were assembled in a single dura, and the spinal cord was released. In type II SCM, fibrous band was removed and spinal cord was released. Results: All patients were recovered well after surgery. No mortality had been occured. Cerebrospinal fluid (CSF) fistula was seen in 4 patients. The complications such as CSF fistula, infection or wound problems were properly managed. Conclusions: In this paper, we tried to mention about preoperative preparation, intraoperative surgical steps and postoperative period of SCMs. Surgical technique and steps were especially emphasized. SCMs should be treated surgically as soon as possible after the birth in order to avoid neurological and urological deterioration. [ABSTRACT FROM AUTHOR]

The pedicled nasoseptal flap (NSF) constitutes the primary reconstructive option for most skull base defects in endonasal endoscopic approaches. The superior nasal turbinate (ST) has received little attention. We report our preliminary experience with the use of the ST mucosal flap in selected cases. We performed a retrospective review of patients who underwent endonasal endoscopic approaches and identified 9 patients who were reconstructed with vascularized ST mucosal flaps as part of a double-layer or triple-layer reconstruction. When there was no intraoperative cerebrospinal fluid (CSF) leak, we used a double-layer technique. If there was an intraoperative CSF leak, regardless of the quality of leakage, we preferred a triple-layer repair technique. In patients with high-flow leaks, triple-layer repair was performed using only autologous tissue grafts and flaps. Intraoperative CSF leaks were noted in 7 of 9 patients. Among them, 4 patients had low-flow CSF leaks (grade 1 and 2) and 3 patients had high-flow CSF leaks (grade 3). All reconstructions had complete defect coverage with the ST flaps and NSFs were preserved. All the flaps were viable at 4 weeks without a CSF leak or complication at the reconstruction site. There was no contraction or partial loss of the flap. After a mean follow-up period of 9 months, none of the patients required a flap revision, developed a mucocele, infection, or other complication. An ST flap can be used for the vascularized reconstruction of sellar defects if it is bilaterally available. This option should not be overlooked and wasted. [ABSTRACT FROM AUTHOR]