Sphenopalatine-derived pedicled flaps.

A variety of local flaps based on the sphenopalatine artery are available for endoscopic skull base reconstruction including the nasoseptal flap, middle turbinate flap, and posteriorly based inferior turbinate flap. This section will describe the alternatives to the nasoseptal flap, emphasizing the relevant anatomy, indications and technical aspects involved with their use.