Pedicled nasoseptal flap is not the standard of care for skull base defects.
Solyar, Alla Y.; Fried, Marvin P.; Goldberg, Andrew N.; Kennedy, David W.; Lanza, Donald C.; Laryngoscope, 2011, vol. 121, issue 4, p 896, ISSN 0023852x. ISBN 15314995.

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