title: Salpingopharyngeus myomucosal flap.
abstract: OBJECTIVE
  Improvements in the efficacy of extended endonasal approaches to resect skull base pathologies have created the need for new reconstructive alternatives. Hereby, we describe a novel pedicled myomucosal flap that allows the reconstruction of dural defects in the lower clivus and craniovertebral junction or to cover the paraclival and petrous segments of the internal carotid artery.
  
  
  METHODS
  Anatomic description. Technical report. Feasibility.
  
  
  METHODS
  We describe a myomucosal flap with a cephalic pedicle based on the salpingopharyngeus muscle and its vessels. Subsequently, using a cadaveric model, we harvested the flap and explored its potential for the reconstruction of various dural defects or to cover the internal carotid artery.
  
  
  RESULTS
  Our study confirmed the feasibility of harvesting and transposing the myomucosal salpingopharyngeus (Dicle flap) flap for the reconstruction of inferior clival and craniovertebral junction defects or to cover the petrous and paraclival segments of the internal carotid artery.
  
  
  CONCLUSIONS
  The Dicle flap is a feasible, reconstructive alternative for the reconstruction of select small- to medium-sized defects of the posterior and inferior aspects of the ventral skull base.
authors.affiliation: From the *Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, OH; †Department of Otolaryngology-Head and Neck Surgery, Dicle University, Diyarbakir, Turkey; ‡Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, OH; and §Department of Otolaryngology, Balikesir Military Hospital, Balikesir, Turkey.
authors.forename: Ramazan
authors.initials: R
authors.lastname: Gun
authors.forename: Kenichi
authors.initials: K
authors.lastname: Oyama
authors.forename: Burak
authors.initials: B
authors.lastname: Kapucu
authors.forename: Liang
authors.initials: L
authors.lastname: Wang
authors.forename: Abdul Aziz
authors.initials: AA
authors.lastname: Al Qahtani
authors.forename: Bradley A
authors.initials: BA
authors.lastname: Otto
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Prevedello
authors.forename: Ricardo L
authors.initials: RL
authors.lastname: Carrau
mesh_terms: D002102:Cadaver; D002343:Carotid Artery, Internal / Q000601:surgery; D003388:Cranial Fossa, Posterior / Q000601:surgery; D004210:Dissection / Q000379:methods; D004388:Dura Mater / Q000601:surgery; D004724:Endoscopy; D005240:Feasibility Studies; D006801:Humans; D009061:Mouth Mucosa / Q000098:blood supply / Q000637:transplantation*; D010579:Petrous Bone / Q000601:surgery; D010609:Pharyngeal Muscles / Q000098:blood supply / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D019291:Skull Base / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply / Q000637:transplantation*; D020858:Tissue and Organ Harvesting / Q000379:methods