Introduction: Traditionally, repairs of spontaneous skull base defects have relied on local or free mucosal and free bone grafts for closure. Free grafting is highly successful for small skull base defects, with a low incidence of postoperative cerebrospinal fluid (CSF) leaks. With larger defects, a vascularized flap has been shown to be more effective in reducing CSF leak rates to those similar to open repair. Previously described techniques include a nasoseptal flap, a pedicled inferior turbinate flap, and a middle turbinate mucosal flap. The use of the superior turbinate for repair of defects has limited description in otolaryngology and neurosurgery literature. We describe the use of the superior turbinate as an osteoplastic flap for repair of an anterior skull base defect after endoscopic endonasal resection of a cribriform encephalocele.