{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:47:04Z","timestamp":1777891624274,"version":"3.51.4"},"reference-count":6,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,1,26]],"date-time":"2015-01-26T00:00:00Z","timestamp":1422230400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The nasoseptal flap (NSF) has been shown to be a valuable addition to the reconstructive armamentarium of the endoscopic skull\u2010base surgeon. We aimed to evaluate the rate of postoperative cerebrospinal fluid (CSF) leak after use of a NSF that had a small tear during harvest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>After Institutional Review Board (IRB) approval, we analyzed our database of patients undergoing skull\u2010base resection. We included all patients who had a NSF reconstruction, septoplasty, and\/or spur on preoperative computed tomography (CT) imaging. We then evaluated video of each procedure to determine if a tear occurred in the NSF during harvest. Patient records were reviewed to determine if a postoperative CSF leak occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We evaluated video of 21 patients who underwent a skull\u2010base resection, were reconstructed with a NSF, and had either a septoplasty or evidence of a septal spur on CT imaging. Of these 21 cases, 11 small tears occurred during harvest of the NSF flap and none of the patients with a torn NSF had a postoperative CSF leak.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our series shows a 0% postoperative CSF leak rate in patients undergoing skull\u2010base reconstruction with a NSF that was torn during harvest. Small tears in the NSF do not seem to affect postoperative CSF leak rates.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.21480","type":"journal-article","created":{"date-parts":[[2015,1,26]],"date-time":"2015-01-26T17:51:48Z","timestamp":1422294708000},"page":"353-355","source":"Crossref","is-referenced-by-count":10,"title":["Perforation of a nasoseptal flap does not increase the rate of postoperative cerebrospinal fluid leak"],"prefix":"10.1002","volume":"5","author":[{"given":"Colin","family":"Huntley","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Thomas Jefferson University Philadelphia  PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfred Marc Calo","family":"Iloreta","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Thomas Jefferson University Philadelphia  PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gurston G.","family":"Nyquist","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Thomas Jefferson University Philadelphia  PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Otten","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University  Philadelphia PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hermes","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University  Philadelphia PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Farrell","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University  Philadelphia PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc R.","family":"Rosen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Thomas Jefferson University Philadelphia  PA"},{"name":"Department of Neurosurgery, Thomas Jefferson University  Philadelphia PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James J.","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Thomas Jefferson University Philadelphia  PA"},{"name":"Department of Neurosurgery, Thomas Jefferson University  Philadelphia PA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,1,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000234933.37779.e4"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3378"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2012.08.011"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000297074.13423.F5"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20861"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2011.08.034"}],"container-title":["International Forum of Allergy &amp; Rhinology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Falr.21480","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/alr.21480","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T20:21:09Z","timestamp":1696623669000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/alr.21480"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,26]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,4]]}},"alternative-id":["10.1002\/alr.21480"],"URL":"https:\/\/doi.org\/10.1002\/alr.21480","archive":["Portico"],"relation":{},"ISSN":["2042-6976","2042-6984"],"issn-type":[{"value":"2042-6976","type":"print"},{"value":"2042-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,26]]}}}