{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T08:14:09Z","timestamp":1788250449723,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":4338,"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":[[2004,7]]},"abstract":"<jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>The objectives of this study was to establish a rationale for repairing large anterior skull base defects with an extended pericranial flap and split calvarial bone graft; to define large anterior skull base defects as those spanning the anterior cranial measuring at least 3.0 \u00d7 4.0\u00a0cm; and to describe the surgical technique and compare it with alternative strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>Thirty\u2010four patients underwent anterior craniofacial resection of anterior skull\u2010based tumors of varying histology with reconstruction using an extended pericranial flap and split calvarial bone graft.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The survival of the pericranial flap and bone graft was maintained in 33 of 34 patients. There was 1 episode of postoperative cerebrospinal fluid leak, 1 episode of osteomyelitis of the bone graft and an epidural abscess, and 1 episode of asymptomatic pneumocephalus.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Split calvarial bone graft with an extended pericranial flap is an effective technique for reconstructing large anterior skull base defects.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2004.02.033","type":"journal-article","created":{"date-parts":[[2004,7,9]],"date-time":"2004-07-09T11:09:41Z","timestamp":1089371381000},"page":"69-76","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Extended pericranial flap and bone graft reconstruction in anterior skull base surgery"],"prefix":"10.1002","volume":"131","author":[{"given":"Michael","family":"Rodrigues","sequence":"first","affiliation":[{"name":"University of Maryland School of Medicine University of Maryland 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