{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T04:38:36Z","timestamp":1741754316558,"version":"3.38.0"},"reference-count":5,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T00:00:00Z","timestamp":1711411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["World j. otorhinolaryngol.-head neck surg."],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Endoscopic resection with transnasal craniectomy (ERTC) and skull\u2010base reconstruction (SBR) are effective techniques for sinonasal\/skull\u2010base malignancies treatment. Endoscopic endonasal SBR techniques are mainly based on homologue\u2010free grafts with excellent outcomes, but alternative techniques can be used such as regional vascularized pedicled flaps or local pedicled flap\u2010like Hadad\u2013Bassagasteguy nasoseptal flap and the septal flip flap (SFF). The purpose of this article\u00a0is to describe an inferiorly based septal flap aimed to promote mucosal healing and improve patients\u2019 quality of life. We reported a clinical case of 51\u2010year\u2010old female affected by olfactory neuroblastoma, Hyams\u2010\u2161, Kadish\u2010INSICA\u2010B treated with unilateral ERTC and SBR with fascia lata, SFF, and modified reverse septal flap (mRSF). The mRSF harvesting is described in detail, to obtain a lower hinged flap with random vascularization, which can be rotated to cover the exposed bone of the nasal cavity floor. Endoscopic evaluations immediately showed rapid healing with a minimal amount of nasal crusting, despite the adjuvant treatment and the short time since the surgery. This surgical technique is a simple and viable way to boost nasal healing after endoscopic endonasal surgery and for nasal floor resurfacing after septal removal following a unilateral ERTC.<\/jats:p>","DOI":"10.1002\/wjo2.173","type":"journal-article","created":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T07:48:37Z","timestamp":1711439317000},"page":"158-162","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified reverse septal flap: A surgical hint"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1380-4206","authenticated-orcid":false,"given":"Gianluca","family":"Dalfino","sequence":"first","affiliation":[{"name":"Division of Otorhinolaryngology Head and Neck Surgery, Department of Biotechnology and Life Sciences University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Ronchi","sequence":"additional","affiliation":[{"name":"Division of Otorhinolaryngology Head and Neck Surgery, Department of Biotechnology and Life Sciences University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgio","family":"Sileo","sequence":"additional","affiliation":[{"name":"Division of Otorhinolaryngology Head and Neck Surgery, Department of Biotechnology and Life Sciences University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Volpi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Ospedale Sant'Anna University of Insubria Como Italy"},{"name":"Head and Neck Surgery &amp; Forensic Dissection Research center (HNS&amp;FDRc), Department of Biotechnology and Life Sciences University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Bignami","sequence":"additional","affiliation":[{"name":"Division of Otorhinolaryngology Head and Neck Surgery, Department of Biotechnology and Life Sciences University of Insubria Varese Italy"},{"name":"Head and Neck Surgery &amp; Forensic Dissection Research center (HNS&amp;FDRc), Department of Biotechnology and Life Sciences University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2015.09.012"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000234933.37779.e4"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2021.09.046"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-748"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/19458924231166801"}],"container-title":["World Journal of Otorhinolaryngology - Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T15:46:59Z","timestamp":1741708019000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjo2.173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,26]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/wjo2.173"],"URL":"https:\/\/doi.org\/10.1002\/wjo2.173","archive":["Portico"],"relation":{},"ISSN":["2095-8811","2589-1081"],"issn-type":[{"type":"print","value":"2095-8811"},{"type":"electronic","value":"2589-1081"}],"subject":[],"published":{"date-parts":[[2024,3,26]]},"assertion":[{"value":"2023-12-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}