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The combined intracranial-extracranial approach to craniofacial malignancies has been performed in thirteen patients. In these cases there has been reconstruction of the exposed vital parts using the two stage split flap technic or occasional split thickness skin grafts. There were no postoperative deaths in spite of extensive preoperative residual carcinoma and massive resections. The patients were rehabilitated more rapidly due to immediate reconstruction which we believed did not jeopardize their subsequent course. The combined approach is most useful in attempting to cure cancer, to palliate the pain and dysfunction of cancer and, to diagnose the extent of cancer progression.
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