{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T08:14:14Z","timestamp":1788250454287,"version":"build-2803163510"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"7","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,8,18]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Anterior skull base surgery to address tumor, trauma, or infection causing extensive bony destruction is associated with rhinorrhea and infection as potentially life-threatening complications. When performing anterior skull base reconstruction, watertight dural closure and airtight closure of the nasal cavity mucosa are essential for preventing these complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors describe the case of a patient with a mixed olfactory neuroblastoma and adenocarcinoma who underwent resection. The procedure involved a multilayer reconstruction of the skull base, combining fascia lata from the thigh, a pedicled pericranial periosteal flap, and a pedicled nasoseptal flap. Specifically, the authors achieved airtight compartmentalization by carefully suturing the pedicled pericranial periosteal flap to the normal dura mater.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>This suture technique for placing a pedicled pericranial periosteal flap from the frontal bone in the epidural space might support the goal of achieving a watertight and airtight closure.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE25422\">https:\/\/thejns.org\/doi\/10.3171\/CASE25422<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25422","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T23:48:23Z","timestamp":1756770503000},"source":"Crossref","is-referenced-by-count":2,"title":["Airtight compartmentalization of the anterior skull base reconstructed using a pedicled pericranial periosteal flap: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Shunya","family":"Kashiwagi","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery, Tenri Hospital, Tenri, Nara Prefecture, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4540-3316","authenticated-orcid":true,"given":"Motoaki","family":"Fujimoto","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Tenri Hospital, Tenri, Nara Prefecture, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuya","family":"Otsuki","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Tenri Hospital, Tenri, Nara Prefecture, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Ogata","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Tenri Hospital, Tenri, Nara Prefecture, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5769-8401","authenticated-orcid":true,"given":"Takahiko","family":"Kamata","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Tenri Hospital, Tenri, Nara Prefecture, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8390-3492","authenticated-orcid":true,"given":"Naohito","family":"Seki","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Tenri Hospital, Tenri, Nara Prefecture, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoichi","family":"Tani","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Tenri Hospital, Tenri, Nara Prefecture, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"bib1","series-title":"Am J Otolaryngol","first-page":"103700","article-title":"Reconstruction in open anterior skull base surgery: a review and algorithmic approach","volume":"44","author":"Ryan","year":"2023","unstructured":"Ryan JFTanavde VAGallia GLBoahene KDOLondon NRDesai SC.Reconstruction in open anterior skull base surgery: a review and algorithmic approach. Am J Otolaryngol. 2023;44(2):103700."},{"issue":"4","key":"bib2","series-title":"Otolaryngol Clin North Am","first-page":"727","article-title":"Anterior skull base reconstruction","volume":"56","author":"Racette","year":"2023","unstructured":"Racette STekumalla SAgarwal ACurry JBeahm DD.Anterior skull base reconstruction. Otolaryngol Clin North Am. 2023;56(4):727-739."},{"issue":"11","key":"bib3","series-title":"Laryngoscope","first-page":"2942","article-title":"Pericranial flap-based multilayer reconstruction of endoscopic transcribriform craniectomy for sinonasal malignancies","volume":"133","author":"Calvaruso","year":"2023","unstructured":"Calvaruso FLo Manto ABisi NPericranial flap-based multilayer reconstruction of endoscopic transcribriform craniectomy for sinonasal malignancies. Laryngoscope. 2023;133(11):2942-2947."},{"issue":"9","key":"bib4","series-title":"Plast Reconstr Surg Glob Open","first-page":"e1476","article-title":"Anatomical study of perfusion of a periosteal flap with a lateral pedicle","volume":"5","author":"Kim","year":"2017","unstructured":"Kim BInoue YImanishi NAnatomical study of perfusion of a periosteal flap with a lateral pedicle. Plast Reconstr Surg Glob Open. 2017;5(9):e1476."},{"issue":"3","key":"bib5","series-title":"J Clin Med","first-page":"995","article-title":"Contemporary management of cerebrospinal fluid rhinorrhoea: a review of the literature","volume":"14","author":"Mughal","year":"2025","unstructured":"Mughal ZMartinez-Devesa PBoukas AJeyaretna SQureishi A.Contemporary management of cerebrospinal fluid rhinorrhoea: a review of the literature. J Clin Med. 2025;14(3):995."},{"issue":"3","key":"bib6","series-title":"Acta Neurochir (Wien)","first-page":"641","article-title":"Efficacy of simultaneous pericranial and nasoseptal \u201cdouble flap\u201d reconstruction of anterior skull base defects after combined transbasal and endoscopic endonasal approaches","volume":"162","author":"Gabriel","year":"2020","unstructured":"Gabriel PJKohli GHsueh WDEloy JALiu JK.Efficacy of simultaneous pericranial and nasoseptal \u201cdouble flap\u201d reconstruction of anterior skull base defects after combined transbasal and endoscopic endonasal approaches. Acta Neurochir (Wien). 2020;162(3):641-647."},{"issue":"2","key":"bib7","series-title":"J Neurol Surg B Skull Base","first-page":"189","article-title":"Compartmentalization: an open technique for frontal sinus repair and preservation-description of technique and early case series","volume":"82","author":"Miller","year":"2021","unstructured":"Miller CWeisbrod LBeahm DChamoun R.Compartmentalization: an open technique for frontal sinus repair and preservation-description of technique and early case series. J Neurol Surg B Skull Base. 2021;82(2):189-195."},{"issue":"6","key":"bib8","series-title":"Laryngoscope Investig Otolaryngol","first-page":"1029","article-title":"Vascular pedicled flaps for skull base defect reconstruction","volume":"5","author":"Gutierrez","year":"2020","unstructured":"Gutierrez WRBennion DMWalsh JEOwen SR.Vascular pedicled flaps for skull base defect reconstruction. Laryngoscope Investig Otolaryngol. 2020;5(6):1029-1038."},{"issue":"2","key":"bib9","series-title":"Neurosurg Focus","first-page":"E10","article-title":"Frontal sinus mucosa suture closure technique for prevention of cerebrospinal fluid rhinorrhea after bifrontal craniotomy: long-term follow-up results","volume":"58","author":"Matano","year":"2025","unstructured":"Matano FNounaka YMurai Y.Frontal sinus mucosa suture closure technique for prevention of cerebrospinal fluid rhinorrhea after bifrontal craniotomy: long-term follow-up results. Neurosurg Focus. 2025;58(2):E10-E10."},{"key":"bib10","series-title":"World Neurosurg","first-page":"123561","article-title":"Optimized bifrontal craniotomy: reducing risks and boosting surgical results","volume":"194","author":"Fukuda","year":"2025","unstructured":"Fukuda NYoshioka HOgiwara MOptimized bifrontal craniotomy: reducing risks and boosting surgical results. World Neurosurg. February 2025;194:123561."},{"issue":"6","key":"bib11","series-title":"World Neurosurg","first-page":"907","article-title":"An effective method of frontal sinus reconstruction after bifrontal craniotomy: experience with 103 patients","volume":"83","author":"Takeuchi","year":"2015","unstructured":"Takeuchi STanikawa RKatsuno MAn effective method of frontal sinus reconstruction after bifrontal craniotomy: experience with 103 patients. World Neurosurg. 2015;83(6):907-911."},{"issue":"1","key":"bib12","series-title":"Cancers (Basel)","first-page":"1","article-title":"Reconstruction of the anterior skull base using the nasoseptal flap: a review","volume":"16","author":"Werner","year":"2024","unstructured":"Werner MTYeoh DFastenberg JHReconstruction of the anterior skull base using the nasoseptal flap: a review. Cancers (Basel). 2024;16(1):1-14."},{"key":"bib13","series-title":"World Neurosurg","first-page":"e62","article-title":"Free flap transfer, a safe and efficient method for reconstruction of composite skull base defects after salvage resection of advanced intracranial and extracranial communicating tumors","volume":"152","author":"Liu","year":"2021","unstructured":"Liu HJLi DZLi XJQian HPAn CMWan JH.Free flap transfer, a safe and efficient method for reconstruction of composite skull base defects after salvage resection of advanced intracranial and extracranial communicating tumors. World Neurosurg. 2021;152:e62-e70."},{"issue":"2","key":"bib1","series-title":"Am J Otolaryngol","first-page":"103700","article-title":"Reconstruction in open anterior skull base surgery: a review and algorithmic approach","volume":"44","author":"Ryan","year":"2023","unstructured":"Ryan JFTanavde VAGallia GLBoahene KDOLondon NRDesai SC.Reconstruction in open anterior skull base surgery: a review and algorithmic approach. Am J Otolaryngol. 2023;44(2):103700."},{"issue":"4","key":"bib2","series-title":"Otolaryngol Clin North Am","first-page":"727","article-title":"Anterior skull base reconstruction","volume":"56","author":"Racette","year":"2023","unstructured":"Racette STekumalla SAgarwal ACurry JBeahm DD.Anterior skull base reconstruction. Otolaryngol Clin North Am. 2023;56(4):727-739."},{"issue":"11","key":"bib3","series-title":"Laryngoscope","first-page":"2942","article-title":"Pericranial flap-based multilayer reconstruction of endoscopic transcribriform craniectomy for sinonasal malignancies","volume":"133","author":"Calvaruso","year":"2023","unstructured":"Calvaruso FLo Manto ABisi NPericranial flap-based multilayer reconstruction of endoscopic transcribriform craniectomy for sinonasal malignancies. Laryngoscope. 2023;133(11):2942-2947."},{"issue":"9","key":"bib4","series-title":"Plast Reconstr Surg Glob Open","first-page":"e1476","article-title":"Anatomical study of perfusion of a periosteal flap with a lateral pedicle","volume":"5","author":"Kim","year":"2017","unstructured":"Kim BInoue YImanishi NAnatomical study of perfusion of a periosteal flap with a lateral pedicle. Plast Reconstr Surg Glob Open. 2017;5(9):e1476."},{"issue":"3","key":"bib5","series-title":"J Clin Med","first-page":"995","article-title":"Contemporary management of cerebrospinal fluid rhinorrhoea: a review of the literature","volume":"14","author":"Mughal","year":"2025","unstructured":"Mughal ZMartinez-Devesa PBoukas AJeyaretna SQureishi A.Contemporary management of cerebrospinal fluid rhinorrhoea: a review of the literature. J Clin Med. 2025;14(3):995."},{"issue":"3","key":"bib6","series-title":"Acta Neurochir (Wien)","first-page":"641","article-title":"Efficacy of simultaneous pericranial and nasoseptal \u201cdouble flap\u201d reconstruction of anterior skull base defects after combined transbasal and endoscopic endonasal approaches","volume":"162","author":"Gabriel","year":"2020","unstructured":"Gabriel PJKohli GHsueh WDEloy JALiu JK.Efficacy of simultaneous pericranial and nasoseptal \u201cdouble flap\u201d reconstruction of anterior skull base defects after combined transbasal and endoscopic endonasal approaches. Acta Neurochir (Wien). 2020;162(3):641-647."},{"issue":"2","key":"bib7","series-title":"J Neurol Surg B Skull Base","first-page":"189","article-title":"Compartmentalization: an open technique for frontal sinus repair and preservation-description of technique and early case series","volume":"82","author":"Miller","year":"2021","unstructured":"Miller CWeisbrod LBeahm DChamoun R.Compartmentalization: an open technique for frontal sinus repair and preservation-description of technique and early case series. J Neurol Surg B Skull Base. 2021;82(2):189-195."},{"issue":"6","key":"bib8","series-title":"Laryngoscope Investig Otolaryngol","first-page":"1029","article-title":"Vascular pedicled flaps for skull base defect reconstruction","volume":"5","author":"Gutierrez","year":"2020","unstructured":"Gutierrez WRBennion DMWalsh JEOwen SR.Vascular pedicled flaps for skull base defect reconstruction. Laryngoscope Investig Otolaryngol. 2020;5(6):1029-1038."},{"issue":"2","key":"bib9","series-title":"Neurosurg Focus","first-page":"E10","article-title":"Frontal sinus mucosa suture closure technique for prevention of cerebrospinal fluid rhinorrhea after bifrontal craniotomy: long-term follow-up results","volume":"58","author":"Matano","year":"2025","unstructured":"Matano FNounaka YMurai Y.Frontal sinus mucosa suture closure technique for prevention of cerebrospinal fluid rhinorrhea after bifrontal craniotomy: long-term follow-up results. Neurosurg Focus. 2025;58(2):E10-E10."},{"key":"bib10","series-title":"World Neurosurg","first-page":"123561","article-title":"Optimized bifrontal craniotomy: reducing risks and boosting surgical results","volume":"194","author":"Fukuda","year":"2025","unstructured":"Fukuda NYoshioka HOgiwara MOptimized bifrontal craniotomy: reducing risks and boosting surgical results. World Neurosurg. February 2025;194:123561."},{"issue":"6","key":"bib11","series-title":"World Neurosurg","first-page":"907","article-title":"An effective method of frontal sinus reconstruction after bifrontal craniotomy: experience with 103 patients","volume":"83","author":"Takeuchi","year":"2015","unstructured":"Takeuchi STanikawa RKatsuno MAn effective method of frontal sinus reconstruction after bifrontal craniotomy: experience with 103 patients. World Neurosurg. 2015;83(6):907-911."},{"issue":"1","key":"bib12","series-title":"Cancers (Basel)","first-page":"1","article-title":"Reconstruction of the anterior skull base using the nasoseptal flap: a review","volume":"16","author":"Werner","year":"2024","unstructured":"Werner MTYeoh DFastenberg JHReconstruction of the anterior skull base using the nasoseptal flap: a review. Cancers (Basel). 2024;16(1):1-14."},{"key":"bib13","series-title":"World Neurosurg","first-page":"e62","article-title":"Free flap transfer, a safe and efficient method for reconstruction of composite skull base defects after salvage resection of advanced intracranial and extracranial communicating tumors","volume":"152","author":"Liu","year":"2021","unstructured":"Liu HJLi DZLi XJQian HPAn CMWan JH.Free flap transfer, a safe and efficient method for reconstruction of composite skull base defects after salvage resection of advanced intracranial and extracranial communicating tumors. World Neurosurg. 2021;152:e62-e70."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/7\/article-CASE25422.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/7\/article-CASE25422.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/7\/article-CASE25422.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:10:18Z","timestamp":1769685018000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/7\/article-CASE25422.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,18]]},"references-count":26,"journal-issue":{"issue":"7"},"URL":"https:\/\/doi.org\/10.3171\/case25422","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,18]]}}}