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Radical maxillectomy extended to the hemipalate for squamous cell carcinoma; temporalis muscle flap reconstructs the surgical gap. Perineural recurrent tumor spreading along the maxillary nerve (v2) to reach posteriorly the cavernous sinus (cs) and Meckel cave (mc). Antegrade extension along the mandibular nerve is also seen (v3), the lateral pterygoid muscle (*) shows signs of denervation.
