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A free mucosal graft is typically placed over these materials, and the reconstruction is secured with surgical sealant and resorbable and nonresorbable packing material.
Mucosa within 5 mm of the margins of the skull base defect must also be removed to facilitate mucosal grafting.
Mucosal grafts should never be placed intracranially, and care should be taken to ensure the correct placement, which avoids inadvertent intracranial placement.
An intracranial mucocele after endoscopic CSF leak repair has been reported; this complication probably resulted from incorrect mucosal graft placement.75
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