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Updated: May 20, 2026

Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
Published on: August 15, 2025
The secondary composite temporoparietal lobe-modification
Tarik Masic1, Almir Dervisevic, Edita Dervisevic
1Clinic for Maxillophacial Suregery, Sarajevo, Clinical Center of Sarajevo University, Bosnia and Herzegovina.
Abstract:
Orbital defects after malignant tumor removal represent a major problem for satisfactory reconstruction. Treatment and surgical reconstruction according to the regular surgical protocol improves with each new case contributing to continuous improvement of surgical techniques in order to achieve better reconstruction of the defect. In our modification in 20 patients there was presented a new method of reconstruction of the defect where the orbits included also a part of the muscle (sternocleidomastoid muscle) for better stabilization at the desired position on the immediate ocular prosthesis installation site in order to quickly overcome the postoperative defect after orbital exenteration. Application of modified temporoparietal slice gives good functional and cosmetic results, and is recommended to be used for reconstruction of defects after orbital exenteration.
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