Transpterygoid Transposition of a Temporoparietal Fascia Flap: A New Method for Skull Base Reconstruction after Endoscopic Expanded Endonasal Approaches

Abstract

The TPFF is a reliable and versatile method for the reconstruction of the anterior, middle, clival, and parasellar skull base after EEAs. Its harvesting requires an external incision; thus, it is not our preferred method of reconstruction. It is recommended for large dural defects in patients with previous posterior septectomy and previous radiation treatment.