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| Midfacial
split |
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Midfacial split or bilateral facial translocation combines complete
right and left basic translocation units with palatal split. This
approach exposes both infratemporal fossae, the central skull base,
and the entire paracentral skull base. Both distal cervical internal
carotid arteries are in view, as is the full clivus. The palatal split
permits a reach to the level of C2-3. A single temporalis muscle flap
is sufficient to cover the surgical defect at the skull base.
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| 27
years old female, lost vision totally in both eyes.
MR Images show
the Giant cell turn our of the clivus and sphenoid sinus and
filling the nasal cavity. |
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| Facial
incisions.
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Right
half of the maxilla is disarticulated. |
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| Displaced
facial segments (maxilla).
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After
removal of tumor. |
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Right
temporalis muscle was rotated to cover the surgical
defect at the skull base. |
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Post-op shows good occlusion,
eye closure and cosmesis. |
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