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This case series study analyzes the utility and efficacy of post-aural soft tissue and temporalis fascia grafts in repairing small (&lt;1 cm) skull base defects. Five out of six patients (83.33%) achieved successful defect closure. Patients were followed for donor site morbidity, postoperative CSF leak, and\/or recurrent meningocele. One patient experienced reconstruction failure and developed a CSF leak eight months after surgery. The results suggest that TF grafts combined with post-aural soft tissue may be effectively used to repair small skull base defects without significant donor site morbidity.<\/jats:p>","DOI":"10.18787\/jr.2025.00003","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:37:01Z","timestamp":1742776621000},"page":"55-59","update-policy":"https:\/\/doi.org\/10.18787\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Temporalis Fascia and Free Post\u2010Aural Soft Tissue Graft in Sub\u2010Centimeter Skull Base Defect Repair"],"prefix":"10.18787","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5868-907X","authenticated-orcid":true,"given":"Vijay","family":"Bidkar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4132-9766","authenticated-orcid":true,"given":"Khadeeja","family":"K","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7989","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-818513"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3109\/00016484809129635"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000193924.65297.3f"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400402"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1177\/014556139207100703"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1177\/000348949910800401"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200408000-00029"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.129.8.859"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.2500\/105065801781543736"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.57.7.847"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200007000-00019"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/s0194-59989770292-4"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200406000-00007"},{"key":"ref14","first-page":"770","volume-title":"Adult spontaneous cerebrospinal fluid otorrhea: diagnosis and management","author":"Gacek","year":"1999"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/s0009-9260(96)80079-1"},{"key":"ref16","first-page":"627","volume-title":"Cerebrospinal fluid fistula: detection with MR cisternography","author":"El Gammal","year":"1998"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1177\/014556139207100704"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199008000-00012"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-018-1387-3"}],"container-title":["Journal of Rhinology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/j-rhinology.org\/upload\/pdf\/jr-2025-00003.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/j-rhinology.org\/journal\/view.php?doi=10.18787\/jr.2025.00003","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/j-rhinology.org\/upload\/pdf\/jr-2025-00003.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T08:20:44Z","timestamp":1743150044000},"score":1,"resource":{"primary":{"URL":"http:\/\/j-rhinology.org\/journal\/view.php?doi=10.18787\/jr.2025.00003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,31]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"URL":"https:\/\/doi.org\/10.18787\/jr.2025.00003","relation":{},"ISSN":["1229-1498","2384-4361"],"issn-type":[{"value":"1229-1498","type":"print"},{"value":"2384-4361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,31]]},"assertion":[{"value":"2025-01-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-21","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}