Abstract
An 87-year-old female patient with recurrent squamous cell carcinoma invading the left side of her anterior skullbase was operated on. The anterior skullbase was reconstructed using our modified New's sickle flap. This flap is a kind of scalp forehead flap, which is an axially pattern flap with two pedicles. The first pedicle is the base of the superficial temporal arteries, the second pedicle is the part of anastomoses between the superficial temporal artery and the supratrochler artery. Our modified sickle New's flap is considered to be useful for the skullbase reconstruction when the other side of the skin cannot be used.