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Abstract
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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© 1965 Published by Elsevier Inc.
