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We retrospectively analyzed 89 depressed frontal sinus fractures reconstructed with a pericranial flap (PCF) harvested in 29 of them at a tertiary center between 2014 and 2024 (MFM.IRB.ID code: R.25.08.3314). Most patients were young men (mean 18.3\u2009\u00b1\u20094.1 years); mechanisms included falls (42.7%) and motor-vehicle collisions (39.3%). Fracture types were isolated anterior table (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200954), combined anterior\/posterior tables (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200935), and nasofrontal outflow tract (NFOT) involvement (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20098). Using a bicoronal approach, we cranialized NFOT-disrupted sinuses, repaired dura in 33 cases, and rebuilt orbits as required. The vascularized \u201cChinese-carpet\u201d PCF was split or folded to achieve multilayer anterior skull-base coverage without donor-site morbidity. Forehead projection improved by 3.4\u2009\u00b1\u20091.7\u00a0mm (range 2.9\u201316.8\u00a0mm). Over a 39.2-month mean follow-up, no cerebrospinal fluid leaks occurred. Minor complications included transient alopecia (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200933), scalp paresthesia (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200957), and five mucoceles managed conservatively. Our decade-long experience supports the PCF as a versatile, dependable option for complex frontal sinus reconstruction; larger multicenter studies should confirm its long-term efficacy.\n                  <\/jats:p>","DOI":"10.1007\/s10143-026-04273-2","type":"journal-article","created":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T00:24:27Z","timestamp":1776471867000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Chinese carpet flap for anterior cranial fossa reconstruction in cases of depressed frontal fractures: 10 years\u2019 experience at a tertiary referral center"],"prefix":"10.1007","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1629-4659","authenticated-orcid":false,"given":"Eman H.","family":"Salem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eslam A.","family":"Elsery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdallah","family":"Aljijikly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Serageldin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9823-2939","authenticated-orcid":false,"given":"Mohammad Mahdi Bagheri","family":"Asl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3834-790X","authenticated-orcid":false,"given":"Ahmed","family":"Abdelwahab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,18]]},"reference":[{"key":"4273_CR1","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1054\/jcms.2000.0134","volume":"28","author":"G Gerbino","year":"2000","unstructured":"Gerbino G, Roccia F, Benech A, Caldarelli C (2000) Analysis of 158 frontal sinus fractures: current surgical management and complications. 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