{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T18:03:58Z","timestamp":1786125838182,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Autologous abdominal fat grafts are occasionally used in the repair of skull base exposures. This surgical procedure typically requires an additional surgical site and may have unexpected postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To describe an operative technique for harvesting subfascial fat from the temporal extension of the buccal fat pad for the repair of skull base defects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We review the pertinent anatomy of the temporalis subfascial fat pad and discuss the technique used to harvest the subfascial fat component in a clinical presentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A pretemporal approach was performed for clip ligation of an anterior circulation aneurysm. A standard frontotemporal incision was made with an interfascial flap to preserve the frontalis branches of the facial nerve. The subfascial fat was inspected and determined to be adequate for harvesting. Monopolar cauterization was carefully utilized to remove the fat. During closure, the graft was used to repair a pneumatized clinoid sinus and for the dural repair of the pretemporal exposure. The patient did not have any postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Autologous temporalis subfascial fat graft is a viable and safe technique for skull base dural and sinus repair during frontotemporal approaches in select patients. This technique avoids an additional surgical procedure and potential complications that may be associated with it.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opaa442","type":"journal-article","created":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T01:44:29Z","timestamp":1611107069000},"page":"E274-E278","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Autologous Temporalis Subfascial Fat Graft for Skull Base Repair: A Novel Technique"],"prefix":"10.1227","volume":"20","author":[{"given":"Paul","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, CHI St. Vincent Arkansas Neuroscience Institute, Sherwood, Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled M","family":"Krisht","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, CHI St. Vincent Arkansas Neuroscience Institute, Sherwood, Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, CHI St. Vincent Arkansas Neuroscience Institute, Sherwood, Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali F","family":"Krisht","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, CHI St. Vincent Arkansas Neuroscience Institute, Sherwood, Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,4]]},"reference":[{"issue":"6","key":"bib1-20251027","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/j.jocn.2003.09.011","article-title":"Endoscopic transnasal intradural repair of anterior skull base cerebrospinal fluid fistulae","volume":"11","author":"Briggs","year":"2004","journal-title":"J Clin Neurosci"},{"key":"bib2-20251027","doi-asserted-by":"crossref","first-page":"e896","DOI":"10.1016\/j.wneu.2019.03.293","article-title":"Skull base dural repair using autologous fat as a dural substitute: an efficient technique","volume":"127","author":"Bohoun","year":"2019","journal-title":"World Neurosurg"},{"issue":"5","key":"bib3-20251027","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/j.wneu.2012.08.001","article-title":"The history of autologous fat graft use for prevention of cerebrospinal fluid rhinorrhea after transsphenoidal approaches","volume":"80","author":"Ziu","year":"2013","journal-title":"World Neurosurg"},{"issue":"Suppl 16","key":"bib4-20251027","first-page":"S463","article-title":"Dural repair using autologous fat: our experience and review of the literature","volume":"7","author":"Di Vitantonio","year":"2016","journal-title":"Surg Neurol Int"},{"issue":"3-4","key":"bib5-20251027","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1016\/j.wneu.2011.12.062","article-title":"Dural repair after craniotomy and the use of dural substitutes and dural sealants","volume":"79","author":"Sekhar","year":"2013","journal-title":"World Neurosurg"},{"issue":"7","key":"bib6-20251027","doi-asserted-by":"crossref","first-page":"2509","DOI":"10.1097\/00006534-200206000-00052","article-title":"Anatomical structure of the buccal fat pad and its clinical adaptations","volume":"109","author":"Zhang","year":"2002","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"bib7-20251027","doi-asserted-by":"crossref","first-page":"1274","DOI":"10.3171\/2014.10.JNS142061","article-title":"Preservation of the nerves to the frontalis muscle during pterional craniotomy","volume":"122","author":"Poblete","year":"2015","journal-title":"J Neurosurg"},{"issue":"1","key":"bib8-20251027","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1055\/s-2006-959337","article-title":"Endoscopic reconstruction of cranial base defects following endonasal skull base surgery","volume":"17","author":"Snyderman","year":"2007","journal-title":"Skull Base"},{"issue":"3","key":"bib9-20251027","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.bjps.2016.10.008","article-title":"Postoperative temporal hollowing: is there a surgical approach that prevents this complication? A systematic review and anatomic illustration","volume":"70","author":"Vaca","year":"2017","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"5","key":"bib10-20251027","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1097\/01.scs.0000180010.83480.10","article-title":"The anatomy of temporal hollowing: the superficial temporal fat pad","volume":"16","author":"Kim","year":"2005","journal-title":"J Craniofac Surg"},{"issue":"5-6","key":"bib11-20251027","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1016\/j.wneu.2011.01.023","article-title":"Sequelae of autologous fat graft used for reconstruction in skull base surgery","volume":"75","author":"Taha","year":"2011","journal-title":"World Neurosurg"},{"issue":"3","key":"bib12-20251027","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1086\/313732","article-title":"Uncomplicated postoperative lipoid meningitis secondary to autologous fat graft necrosis","volume":"30","author":"Ricaurte","year":"2000","journal-title":"Clin Infect Dis"},{"issue":"2","key":"bib13-20251027","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1227\/00006123-199302000-00007","article-title":"Use of vascularized fat from the rectus abdominis myocutaneous free flap territory to seal the dura of basicranial tumor resections","volume":"32","author":"Izquierdo","year":"1993","journal-title":"Neurosurgery"}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/article-pdf\/20\/4\/E274\/36587212\/opaa442.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opaa442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:02:35Z","timestamp":1786122155000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opaa442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,19]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opaa442","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,19]]},"assertion":[{"value":"2020-06-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}