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Related Concept Videos

Cranial Bones: Superior and Posterior View01:14

Cranial Bones: Superior and Posterior View

The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
Muscles for Facial Expressions01:14

Muscles for Facial Expressions

The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...

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Related Experiment Video

Updated: Jul 15, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
19:53

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Published on: March 1, 2015

Midfacial split for access to the central base.

I P Janecka1, D W Nuss, C N Sen

  • 1Department of Otolaryngology, University of Pittsburgh, Pennsylvania.

Acta Neurochirurgica. Supplementum
|January 1, 1991
PubMed
Summary

The midfacial split technique offers extensive surgical access to the central cranial base. This method provides a unified surgical field for complex procedures involving the anterior cranial fossa and upper cervical spine.

Area of Science:

  • Neurosurgery
  • Craniofacial Surgery
  • Surgical Anatomy

Background:

  • Accessing the central cranial base presents significant surgical challenges.
  • Traditional approaches often involve limited visualization and extensive retraction.
  • The need for improved surgical corridors is critical for complex pathologies.

Observation:

  • The midfacial split technique utilizes bilateral facial osteotomies and soft tissue mobilization.
  • This creates a unified surgical field extending from the anterior cranial fossa floor to the fourth cervical vertebral body.
  • The axial extent reaches the jugular fossae and hypoglossal canals.

Findings:

  • The described midfacial split technique provides unparalleled sagittal and axial surgical access.
  • This approach allows for visualization and manipulation of critical midline structures.

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Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation
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Last Updated: Jul 15, 2026

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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation

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  • Eight patient cases demonstrate the feasibility and results of this technique.
  • Implications:

    • This technique offers a novel and effective approach for central cranial base surgery.
    • It may reduce operative morbidity by providing better access and potentially shorter operative times.
    • Further research can explore its application in various complex skull base pathologies.