Explores flap necrosis linked to design factors in skull base surgery, suggesting optimization strategies.
Key Points• Reverse septal flap (RSF) necrosis is rare and linked to flap length but not surgical approach.• Careful reverse septal flap (RSF) design, preserved mucosal perfusion, and avoiding intraoperative trauma are key factors.
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Abdul‐Rahman et al. (2026) studied this question.
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