{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T05:05:54Z","timestamp":1774242354277,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The nasoseptal flap is commonly used in the reconstruction of the anterior skull base following sinonasal tumor resection, but has limitations in its use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case series at a quaternary referral center involved 13 consecutive anterior skull base resections reconstructed with a pericranial flap. Data collection included patient demographics, type of resection (endoscopic\/open\/combined), length of stay, follow\u2010up and complications. The primary outcome was the cerebrospinal fluid (CSF) leakage rate and the secondary outcome was the overall complication rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median age was 64\u2009years (range: 32\u201375\u2009years), and median follow\u2010up was 24.8\u2009months. Four patients (30.8%) had prior radiotherapy, and 10 patients (76.9%) had adjuvant radiotherapy. Eight patients (61.5%) underwent pure endoscopic resection, while the remaining five (38.5%) had a combined endoscopic resection with an open approach required for an orbital exenteration. None of the patients had an open craniotomy. Post\u2010operative CSF leakage was 7.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091) and the overall complication rate was 23.1% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093). In addition to the CSF leak, one patient (7.7%) experienced a tension pneumocephalus and another (7.7%) had a delayed presentation of an ascending intracranial infection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The pericranial flap is a useful extranasal pedicled flap for reconstruction of the anterior skull base when the nasoseptal flap is not available or inadequate. Complications such as CSF leakage, tension pneumocephalus and ascending intracranial infections are uncommon, though they can be adequately managed when present.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70396","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T13:00:51Z","timestamp":1764334851000},"page":"591-601","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes After Pericranial Flap Reconstruction of the Anterior Skull Base After Transcribriform Resection of Sinonasal Tumors: A Retrospective Study"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0961-2729","authenticated-orcid":false,"given":"Balaram","family":"Ramagiri","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Princess Alexandra Hospital  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5346-578X","authenticated-orcid":false,"given":"Zubair","family":"Hasan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Princess Alexandra Hospital  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8330-9243","authenticated-orcid":false,"given":"Stijn","family":"Bekkers","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Princess Alexandra Hospital  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5051-1750","authenticated-orcid":false,"given":"Catherine","family":"Barnett","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Princess Alexandra Hospital  Brisbane Australia"},{"name":"Faculty of Medicine University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7419-1653","authenticated-orcid":false,"given":"James","family":"Bowman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Princess Alexandra Hospital  Brisbane Australia"},{"name":"Faculty of Medicine University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damian","family":"Amato","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Princess Alexandra Hospital  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3724-3773","authenticated-orcid":false,"given":"Benedict","family":"Panizza","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Princess Alexandra Hospital  Brisbane Australia"},{"name":"Faculty of Medicine University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-015-1042-2"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21752"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27746"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30921"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000365620.59677.FF"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1721816"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26574"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000001021"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.471"},{"issue":"2","key":"e_1_2_11_11_1","first-page":"e353","article-title":"Comparative Outcomes by Surgical Approach in Patients With Malignant Sinonasal Disease","volume":"83","author":"Lenze N. R.","year":"2022","journal-title":"Journal of Neurological Surgery, Part B: Skull Base"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22475"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers16020242"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-2009-8865"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(200001)22:1<90::AID-HED14>3.0.CO;2-2"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20022"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1331022"},{"issue":"1","key":"e_1_2_11_18_1","first-page":"78","article-title":"The Utility of Lumbar Drains in Modern Endoscopic Skull Base Surgery","volume":"23","author":"Stokken J.","year":"2015","journal-title":"Current Opinion in Otolaryngology & Head and Neck Surgery"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3171\/2018.4.JNS172447"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.1150"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010901202"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1515\/cclm-2016-0442"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3409"},{"issue":"1","key":"e_1_2_11_24_1","article-title":"Management of Frontal Mucocele After Pericranial Flap Reconstruction of Anterior Skull Base Resection Defect","volume":"81","author":"Kim M.","year":"2020","journal-title":"Journal of Neurological Surgery, Part B: Skull Base"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70396","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70396","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70396","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T04:48:00Z","timestamp":1774241280000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70396"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,28]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/ans.70396"],"URL":"https:\/\/doi.org\/10.1111\/ans.70396","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,28]]},"assertion":[{"value":"2025-03-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}