PMC7141915_01
Preoperative aspect
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F1
The tumor was adherent to the neighboring structures, invading the right eyeball, dorsum nasi and the right zygomatic region (Fig. 1).
Anatomic relations of the tumor with the ophthalmic, nasal, maxillary, and zygomatic regions (computed tomography examination)
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F2
Intraoperative aspect after the excision and dissection of the frontal flap
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F3
After performing the excision, the reconstructive plan was structured to cover the defects by neighboring flaps, the pathological history of the patient making it impossible to perform a reconstruction using a free tissue transfer flap (Fig. 3).
Intraoperative aspect after the dissection of the temporal flaps (fascial and muscular), including the frontal flap in the nasal region
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F4
The upper orbital region was reconstructed by rotating a temporal muscle flap, following that the orbital floor and the zygomatic region have benefitted from reconstruction using a temporal fascial flap (Fig. 4).
Intraoperative aspect at the end of reconstructive surgery
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F5
Surgery lasted 3 hours and was performed under general anesthesia, the patient being discharged 14 days after the surgical treatment (Fig. 5).