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We took all the 6 patients in our study and followed them up. All of the 6 repairs were successful, and no CSF leak was found just after the operation in 6- to 48-month follow-up. We recommend our modified novel temporoparietal myofascial flap as a very good option in case of failed cases of postoperative CSF leak. We recommend our modified novel temporoparietal myofascial flap as a very good option in case of failed cases of postoperative CSF leak. Commissural fibers are necessary for bilateral integration, body coordination, and complex