{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T17:50:03Z","timestamp":1779126603096,"version":"3.51.4"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T00:00:00Z","timestamp":1635897600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Reconstructions of clival resection are still challenging, and additional reconstructive methods may be necessary to achieve full coverage of the skull-base defect in patients with middle- and lower-clivus disease.<\/jats:p><jats:p>\n          Objective\u2003To describe a new nasopharyngeal flap for the middle and lower clivus.<\/jats:p><jats:p>\n          Methods\u2003Using nasal endoscopy in a cadaver dissection, we demonstrated a new nasopharygeal flap to cover the lower and middle clival resection.<\/jats:p><jats:p>\n          Results\u2003We described a new nasopharyngeal flap capable of covering the lower and middle portion of the clivus.<\/jats:p><jats:p>\n          Discussion\u2003The new nasopharyngeal flap, called the upper-tongue flap, is particularly adequate as an alternative for the reconstruction of middle and lower clivus defects, and it is better used in association with a nasalseptal flap in cases in which the nasalseptal flap alone does not provide enough mucosal coverage.<\/jats:p><jats:p>\n          Conclusion\u2003The new nasopharyngeal flap can be used in the reconstruction of clival resection.<\/jats:p>","DOI":"10.1055\/s-0041-1724094","type":"journal-article","created":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T00:03:45Z","timestamp":1635984225000},"page":"e467-e469","source":"Crossref","is-referenced-by-count":3,"title":["New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap"],"prefix":"10.1055","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9813-4466","authenticated-orcid":false,"given":"Rog\u00e9rio","family":"Pezato","sequence":"additional","affiliation":[{"name":"Departament of Otorhinolaryngology and Head and Neck Surgery, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"},{"name":"Departamento of Ophthalmology and Otorhinolaryngology, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4497-8257","authenticated-orcid":false,"given":"Camila","family":"Dassi","sequence":"additional","affiliation":[{"name":"Departament of Otorhinolaryngology and Head and Neck Surgery, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8007-3979","authenticated-orcid":false,"given":"Aldo Cassol","family":"Stamm","sequence":"additional","affiliation":[{"name":"Departament of Otorhinolaryngology and Head and Neck Surgery, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0192-3387","authenticated-orcid":false,"given":"Richard Louis","family":"Voegels","sequence":"additional","affiliation":[{"name":"Departamento of Ophthalmology and Otorhinolaryngology, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,3]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s00062-011-0083-4","article-title":"The clivus: anatomy, normal variants and imaging pathology","volume":"22","author":"E Hofmann","year":"2012","journal-title":"Clin Neuroradiol"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1007\/s00381-007-0332-7","article-title":"The extended endoscopic endonasal approach to the clivus and cranio-vertebral junction: anatomical study","volume":"23","author":"L M Cavallo","year":"2007","journal-title":"Childs Nerv Syst"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1055\/s-0037-1607274","article-title":"Endoscopic Endonasal Reconstructive Methods to the Anterior Skull Base","volume":"31","author":"S Chakravarthi","year":"2017","journal-title":"Semin Plast Surg"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"1882","DOI":"10.1097\/01.mlg.0000234933.37779.e4","article-title":"A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap","volume":"116","author":"G Hadad","year":"2006","journal-title":"Laryngoscope"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1002\/lary.24319","article-title":"Beyond the nasoseptal flap: outcomes and pearls with secondary flaps in endoscopic endonasal skull base reconstruction","volume":"124","author":"M R Patel","year":"2014","journal-title":"Laryngoscope"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1007\/s00701-018-3483-2","article-title":"How I do it: endoscopic endonasal approach to the inferior third of the clivus","volume":"160","author":"E C\u00e1rdenas Ruiz-Valdepe\u00f1as","year":"2018","journal-title":"Acta Neurochir (Wien)"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1724094.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:13:43Z","timestamp":1657844023000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1724094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,3]]},"references-count":6,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,7,14]]},"published-print":{"date-parts":[[2022,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1724094","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"value":"1809-9777","type":"print"},{"value":"1809-4864","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,3]]}}}