{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:47:17Z","timestamp":1792061237535,"version":"4.4.0"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,11,21]],"date-time":"2016-11-21T00:00:00Z","timestamp":1479686400000},"content-version":"vor","delay-in-days":4556,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2004,6]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>We sought to demonstrate the technical aspects of the extended pericranial flap and its versatility in reconstruction of a variety of skull base defects.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>We conducted a retrospective chart review of 32 patients who underwent reconstruction of skull\u2010base defects with an extended pericranial flap by the senior author (Y.D.) from September 1997 to July 2003.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Patients with skull base defects after trauma or extirpative surgery were reconstructed with either a lateral\u2010 or an anterior\u2010based vascularized extended pericranial flap. Variables and outcomes measured included: the size and anatomical location of the defect, need for other flaps, preoperative and\/or postoperative radiation therapy and\/or chemotherapy, bone flap necrosis, hardware exposure, wound dehiscence, postoperative cerebrospinal fluid (CSF) leak, and meningitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>There was no evidence of flap failure, 2 cases of transient (3 to 4\u00a0days) CSF leak without resultant meningitis, 3 patients with hardware exposure, and 2 patients with hydroxyapatite infection. The 2 transient cases of CSF leak both resolved without further surgical intervention or the placement of a lumbar drain.<\/jats:p><jats:p><jats:bold><jats:italic>CONCLUSION:<\/jats:italic> Both the lateral and anteriorly based extended pericranial flaps are reliable and versatile flaps associated with minimal morbidity and a low rate of complications when used to reconstruct defects of the anterolateral skull base.<\/jats:bold> (Otolaryngol Head Neck Surg 2004;130:704\u201011.)<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2004.01.004","type":"journal-article","created":{"date-parts":[[2004,6,11]],"date-time":"2004-06-11T16:16:34Z","timestamp":1086970594000},"page":"704-711","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["The Versatile Extended Pericranial Flap for Closure of Skull Base Defects"],"prefix":"10.1002","volume":"130","author":[{"given":"Jesse E.","family":"Smith","sequence":"first","affiliation":[{"name":"The Department of Otolaryngology\u2010Head and Neck Surgery University of Texas Southwestern Medical Center Dallas Texas"},{"name":"Division of Otolaryngology and Facial Plastic Surgery Fort Worth Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yadranko","family":"Ducic","sequence":"additional","affiliation":[{"name":"The Department of Otolaryngology\u2010Head and Neck Surgery University of Texas Southwestern Medical Center Dallas Texas"},{"name":"Division of Otolaryngology and Facial Plastic Surgery Fort Worth Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198106000-00013"},{"key":"e_1_2_6_3_1","first-page":"190","article-title":"The craniofacial approach to anterior skull base tumors","volume":"22","author":"Briant TDR","year":"1993","journal-title":"J Otolaryngol"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199403000-00010"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199904000-00004"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199006000-00011"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198511000-00007"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198410000-00018"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1977.00780260044002"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199104000-00001"},{"key":"e_1_2_6_11_1","first-page":"17","article-title":"Surgical anatomy and blood supply of the fascial layers of the temporal region","volume":"77","author":"Abul\u2010Hassan HS","year":"1986","journal-title":"Plast Reconstr Surg"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1997.01100160102026"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198811000-00002"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198008000-00004"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199612000-00005"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-197803000-00004"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2004.01.004","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2004.01.004","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2004.01.004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:20:33Z","timestamp":1760955633000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2004.01.004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,6]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2004,6]]}},"alternative-id":["10.1016\/j.otohns.2004.01.004"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2004.01.004","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,6]]},"assertion":[{"value":"2016-11-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}