{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:38:36Z","timestamp":1740166716117,"version":"3.37.3"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"03","funder":[{"name":"J.H.T.","award":["NIH R21 AI142321"],"award-info":[{"award-number":["NIH R21 AI142321"]}]},{"name":"J.H.T.","award":["NIH R01 AG065550"],"award-info":[{"award-number":["NIH R01 AG065550"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B Skull Base"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objectives\u2003Iatrogenic injury to the internal carotid artery (ICA) is one of the most catastrophic complications of endoscopic sinus and skull base surgery. Previous research has shown that packing with a crushed muscle graft at the injury site can be an effective management technique to control bleeding and prevent the need for ICA sacrifice. Here, we describe a novel and readily available repair donor site\u2014an autologous lateral tongue muscle patch.<\/jats:p><jats:p>\n          Design\u2003Three representative cases of a successful repair of ICA injuries using a lateral tongue muscle patch are included in this study. The graft measured approximately 2\u2009\u00d7\u20093\u2009cm and was taken from the lateral intrinsic tongue musculature. We describe the harvest of the graft, its advantages, and the details of operative repair.<\/jats:p><jats:p>\n          Results\u2003The lateral tongue provides a large and readily accessible source of muscle within the surgical field that can be quickly harvested during an endoscopic procedure. For the first case, an expanding parasellar ICA pseudoaneurysm was managed with a tongue muscle patch and nasal packing. In the second case, a cavernous ICA injury was sustained during craniopharyngioma resection. Case three involved an ICA injury during endonasal debridement of invasive fungal rhinosinusitis. None of the patients required embolization or neurovascular stenting. Postoperative angiograms and serial computed tomography angiograms showed complete resolution of the pseudoaneurysm, and the patients continued to do well at least 1 year after repair.<\/jats:p><jats:p>\n          Conclusion\u2003Lateral tongue muscle graft is an effective and efficient method to manage ICA injuries during endoscopic endonasal surgery. Advantages include the speed of harvest, donor site being readily accessible in the surgical field, and low donor site morbidity. It should be added to the repertoire of possible donor sites for addressing catastrophic sinonasal bleeding.<\/jats:p>","DOI":"10.1055\/a-2065-9404","type":"journal-article","created":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T23:14:43Z","timestamp":1680218083000},"page":"241-246","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic Repair of Internal Carotid Artery Injury with a Lateral Tongue Muscle Patch Graft: Novel Technique and Literature Review"],"prefix":"10.1055","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3744-0451","authenticated-orcid":false,"given":"Nikita","family":"Chapurin","sequence":"additional","affiliation":[{"name":"Division of Rhinology\/Skull Base Surgery, Department of Otolaryngology\u2014Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, United States"},{"name":"Division of Rhinology\/Skull Base Surgery, Department of Otolaryngology\u2014Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul K.","family":"Sharma","sequence":"additional","affiliation":[{"name":"Division of Rhinology\/Skull Base Surgery, Department of Otolaryngology\u2014Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madelyn N.","family":"Stevens","sequence":"additional","affiliation":[{"name":"Division of Rhinology\/Skull Base Surgery, Department of Otolaryngology\u2014Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Walter Reed National Military Medical Center, Bethesda, Maryland, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin H.","family":"Turner","sequence":"additional","affiliation":[{"name":"Division of Rhinology\/Skull Base Surgery, Department of Otolaryngology\u2014Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul T.","family":"Russell","sequence":"additional","affiliation":[{"name":"Division of Rhinology\/Skull Base Surgery, Department of Otolaryngology\u2014Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,4,19]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1016\/j.otc.2015.05.006","article-title":"Hemorrhagic complications of endoscopic sinus surgery","volume":"48","author":"A A Halderman","year":"2015","journal-title":"Otolaryngol Clin North Am"},{"key":"ref2","first-page":"Doc06","article-title":"Danger points, complications and medico-legal aspects in endoscopic sinus surgery","volume":"12","author":"W Hosemann","year":"2013","journal-title":"GMS Curr Top Otorhinolaryngol Head Neck Surg"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1002\/wjo2.7","article-title":"Carotid artery injury in endoscopic endonasal surgery: risk factors, prevention, and management","volume":"8","author":"R K Sharma","year":"2022","journal-title":"World J Otorhinolaryngol Head Neck Surg"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1002\/lary.25748","article-title":"Internal carotid artery injury in endoscopic endonasal surgery: a systematic review","volume":"126","author":"O Y Chin","year":"2016","journal-title":"Laryngoscope"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1055\/s-0037-1607314","article-title":"Injury of the carotid artery during endoscopic endonasal surgery: surveys of skull base surgeons","volume":"79","author":"N R Rowan","year":"2018","journal-title":"J Neurol Surg B Skull Base"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1093\/ons\/opab267","article-title":"Management of an internal carotid artery injury during open skull base surgery with a crushed muscle patch\u2014technical note and lessons learned","volume":"21","author":"J Van Der Veken","year":"2021","journal-title":"Oper Neurosurg (Hagerstown)"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1016\/j.otc.2011.06.009","article-title":"Carotid artery injury after endonasal surgery","volume":"44","author":"R Valentine","year":"2011","journal-title":"Otolaryngol Clin 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H Wang","year":"2019","journal-title":"J Neurosurg"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1016\/j.otc.2010.04.008","article-title":"Prevention and management of vascular injuries in endoscopic surgery of the sinonasal tract and skull base","volume":"43","author":"C A Solares","year":"2010","journal-title":"Otolaryngol Clin North Am"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1002\/alr.20033","article-title":"The efficacy of hemostatic techniques in the sheep model of carotid artery injury","volume":"1","author":"R Valentine","year":"2011","journal-title":"Int Forum Allergy Rhinol"},{"issue":"04","key":"ref14","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1001\/jamaoto.2019.4864","article-title":"Assessment of factors associated with internal carotid injury in expanded endoscopic endonasal skull base surgery","volume":"146","author":"A AlQahtani","year":"2020","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"S173","DOI":"10.1055\/s-0034-1395266","article-title":"Management of carotid artery injury in endonasal surgery","volume":"18","author":"V Padhye","year":"2014","journal-title":"Int Arch Otorhinolaryngol"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1177\/19458924211024864","article-title":"Identifying best practices for managing internal carotid artery injury during endoscopic endonasal surgery by consensus of expert opinion","volume":"35","author":"Z M Kassir","year":"2021","journal-title":"Am J Rhinol Allergy"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1055\/s-0035-1551669","article-title":"The reverse-flow facial artery buccinator flap for skull base reconstruction: key anatomical and technical considerations","volume":"76","author":"Z Farzal","year":"2015","journal-title":"J Neurol Surg B Skull 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Lai","year":"2007","journal-title":"Laryngoscope"},{"issue":"01","key":"ref21","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0007-117X(83)90023-9","article-title":"The versatility of the lateral tongue flap in the reconstruction of defects of the oral cavity","volume":"21","author":"E D Vaughan","year":"1983","journal-title":"Br J Oral Surg"}],"container-title":["Journal of Neurological Surgery Part B: Skull Base"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2065-9404.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T10:34:47Z","timestamp":1730802887000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2065-9404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,30]]},"references-count":20,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2024,5,7]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2065-9404","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6331","2193-634X"],"issn-type":[{"type":"print","value":"2193-6331"},{"type":"electronic","value":"2193-634X"}],"subject":[],"published-other":{"date-parts":[[2023,3,30]]},"published":{"date-parts":[[2023,3,30]]}}}