3 Nasal Flaps and Reconstruction

  • Cristine Klatt-Cromwell
  • Brian Thorp
  • Charles S. EbertJr
  • Deanna Sasaki-Adams
  • Matthew G. Ewend
  • Adam M. ZanationEmail author


Endoscopic endonasal skull base surgery has seen a significant amount of development in recent years, pushing techniques to fit a broadened anatomic understanding in the setting of advanced instrumentation. With these developments, skull base reconstruction has required continued innovation. Initially, skull base reconstruction employed a multitude of cellular and acellular grafts and has now expanded to include pedicled flaps. In this chapter, we describe these different reconstruction techniques including their uses, benefits, and limitations.


Skull base reconstruction Nasoseptal flap Pericranial flap Temporoparietal fascia flap CSF leak Endoscopic skull base surgery 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Cristine Klatt-Cromwell
    • 1
  • Brian Thorp
    • 1
  • Charles S. EbertJr
    • 1
  • Deanna Sasaki-Adams
    • 2
  • Matthew G. Ewend
    • 2
  • Adam M. Zanation
    • 1
    Email author
  1. 1.Department of OtolaryngologyUniversity of North Carolina Chapel HillChapel HillUSA
  2. 2.Department of NeurosurgeryUniversity of North Carolina at Chapel HillChapel HillUSA

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