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Nasal septal cartilage has been used previously as a free graft for reconstruction. However, its reliance on local vascular supply can result in ischemia and necrosis in the postoperative period. The vascularized pedicled nasoseptal flap, consisting of mucoperichondrium and mucoperiosteum, is routinely used as an effective reconstruction method for endoscopic repair of cerebrospinal fluid leaks arising from skull base dural defects. However, this flap does not provide rigid structural reconstruction when used alone. We report a case of an orbital floor defect repaired using a pedicled mucochondral\u2010osteal nasoseptal flap. This technique incorporates the structural component of the nasal septal cartilage and bone with the vascularized pedicled nasoseptal flap. This repair technique may be useful in patients requiring postoperative radiotherapy.<\/jats:p>","DOI":"10.1002\/alr.21306","type":"journal-article","created":{"date-parts":[[2014,2,26]],"date-time":"2014-02-26T17:22:48Z","timestamp":1393435368000},"page":"577-582","source":"Crossref","is-referenced-by-count":17,"title":["Structural pedicled mucochondral\u2010osteal nasoseptal flap: a novel method for orbital floor reconstruction after sinonasal and skull base tumor resection"],"prefix":"10.1002","volume":"4","author":[{"given":"Evelyne","family":"Kalyoussef","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Rutgers New Jersey Medical School  Newark NJ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard F.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Rutgers New Jersey Medical School  Newark 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