To prevent crusty rhinitis responsible for necrosis and sequestration of bone grafts used for anterior reconstruction following the extensive resection of ethmoido-frontal neoplasms, the authors propose lining the endocranial surface of these grafts by pericranium with a temporalis muscle based pedicle. The endonasal surface is covered by a pedicle galea flap taken from the frontal scalp and introduced via a para-latero-nasal E.N.T. approach.