{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T02:53:58Z","timestamp":1781751238311,"version":"3.54.5"},"reference-count":2,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007210","name":"RWTH Aachen University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007210","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Traumatic anterior cranial fossa fractures complicated by cerebrospinal fluid (CSF) fistulas carry the risk of ascending meningitis.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n We describe our standardised technique for anterior cranial fossa repair via a bifrontal craniotomy, including preparation of a pericranial flap, closure of the frontal sinus, bilateral olfactory nerve dissection, and intradural pericranial reconstruction.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n A systematic, anatomically informed approach enables durable watertight repair with acceptable morbidity. If surgery is properly timed after cerebral swelling has resolved, and CSF is drained, retractorless surgery prevents injury to the inferior face of the frontal lobes.<\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s00701-026-06961-w","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T13:14:11Z","timestamp":1781702051000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How I do it \u2013 exoscopic retractorless anterior skull base reconstruction using a pedicled pericranial flap for post-traumatic CSF leak"],"prefix":"10.1007","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3648-6842","authenticated-orcid":false,"given":"Michael","family":"Veldeman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Johannes Marinus","family":"Houmes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Clusmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussam","family":"Hamou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"issue":"3","key":"6961_CR1","doi-asserted-by":"publisher","first-page":"647","DOI":"10.3171\/2015.4.JNS1528","volume":"124","author":"JB Archer","year":"2016","unstructured":"Archer JB, Sun H, Bonney PA, Zhao YD, Hiebert JC, Sanclement JA et al (2016) Extensive traumatic anterior skull base fractures with cerebrospinal fluid leak: classification and repair techniques using combined vascularized tissue flaps. J Neurosurg 124(3):647\u2013656","journal-title":"J Neurosurg"},{"issue":"3","key":"6961_CR2","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/j.nic.2014.03.001","volume":"24","author":"KL Baugnon","year":"2014","unstructured":"Baugnon KL, Hudgins PA (2014) Skull base fractures and their complications. Neuroimaging Clin N Am 24(3):439\u201365 (vii\u2013viii)","journal-title":"Neuroimaging Clin N Am"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00701-026-06961-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06961-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06961-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T02:34:35Z","timestamp":1781750075000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00701-026-06961-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,17]]},"references-count":2,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6961"],"URL":"https:\/\/doi.org\/10.1007\/s00701-026-06961-w","relation":{},"ISSN":["0942-0940"],"issn-type":[{"value":"0942-0940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,17]]},"assertion":[{"value":"9 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent for publication of this case, including all accompanying images and operative video, was obtained from the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"141"}}