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Updated: Feb 21, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
The Endoscopic Buccal Fat Pad Flap for Closure of Skull Base Defects: A Report of 5 Cases
Daniel W Flis1, John F Burke2, Arnau Benet2
1Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.
Objective:
To demonstrate the clinical utility of the buccal fat pad flap (BFPF) for closing a variety of skull base defects.
Methods:
A retrospective chart review of 5 consecutive patients who underwent endoscopic cranial base surgery with endoscopic harvest of BFPF pedicled along the internal maxillary artery for reconstruction of the skull base between October 2013 and November 2014.
Results:
All 5 patients had complete take of the BFPFs with mucosalization on postoperative follow-up with no reported complications or cerebrospinal fluid leak.
Conclusions:
This is the first report on the application of endoscopic BFPF. Our experience suggests that this recently described flap is viable and a useful addition to the armamentarium of the skull base surgeon.
