case_images: PMC10465261_01
case_images: (a) Anterior skull base defect exposure; (b) enlargement of the breach to remove valve action and sharp edges; (c) cauterizing small bleeding vessels surrounding the bone rupture; (d-f) instillation of warmed normal saline. Note that the air bubble blowing out: (g) sealing the defect with a thigh fat plug, (h) fascia lata insertion, and (i) modified Hadad flap.
case_images: CRIOT2023-2679788.001.jpg
case_images: PMC10465261_01_CRIOT2023-2679788.001.jpg
case_images: fig1
case_images: Finally, a multilayer technique was performed to secure the defect using thigh fat plug, Surgicel, and fascia lata, covered by the modified Hadad nasoseptal flap (Figure 1).