Shastri KS, et al. - In the anatomical study and retrospective clinical cohort study, authors estimated the outcome of increases in pedicle length and nasoseptal flap (NSF) reach through extended pedicle dissection into the pterygopalatine fossa (PPF). They observed the mean length of the NSF from the anterior nasal spine and maximum flap reach, 1.91 ± 0.40 cm/9.3 ± 0.39 cm following standard harvest, 2.52 ± 0.61 cm/9.75±1.06 cm following sphenopalatine artery (SPA) foramen release, 4.93 ± 0.89 cm/12.16 ± 0.54 cm following full internal maxillary artery (IMAX) dissection, and 6.18 ± 0.68 cm/13.41 ± 0.75 cm following descending palatine artery (DPA) transection. They did not find flap dehiscence or necrosis in all the candidates who underwent surgery. They concluded improvement in the potential length and reach of the flap with extended pedicle dissection of the NSF to the SPA/IMAX.