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Preventing restenosis of marsupialized Rathke cleft cysts using a nasoseptal flap lining

The Laryngoscope Oct 08, 2019

Kuan EC, Trent MS, Luu NN, et al. - In this retrospective chart review, researchers presented a novel technique to maintain patency of the marsupialized Rathke cleft cyst (RCC) cavity by lining it with an nasoseptal flap (NSF) to facilitate long-term drainage and re-epithelialization of the RCC cavity. According to findings, seven patients had RCC marsupialization with no intraoperative cerebrospinal fluid leak, followed by circumferential lining of the marsupialized cavity with an NSF. Using the NSF to "stent up" the RCC cavity after marsupialization is a safe and effective way of preventing restenosis. The advantages include continued RCC cavity patency for full drainage and a dependable vascular supply.
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