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Figure 1: (a) Reflected gingival mucosa of upper alveolus from central incisor to last molar; (b) Palatal mucoperiosteum reflected down to level of hard and soft palate junction; (c) Straight osteotome placed between V- shaped notch of anterior nasal spine (d) Palatal halves opened in midline. There is no loss of bone between central incisor teeth; (e) Anterior segment of temporalis muscle sutured to periorbita and remaining frontal process of the maxilla; (f) Temporal defect after anterior segment of temporalis muscle directed to orbit (g) Transposition of posterior segment of temporalis muscle to anterior temporal defect (h) Gingivolabial and palatal mucoperiosteum sutured together with the buccal fat in between

Figure 1: (a) Reflected gingival mucosa of upper alveolus from central incisor to last molar; (b) Palatal mucoperiosteum reflected down to level of hard and soft palate junction; (c) Straight osteotome placed between V- shaped notch of anterior nasal spine (d) Palatal halves opened in midline. There is no loss of bone between central incisor teeth; (e) Anterior segment of temporalis muscle sutured to periorbita and remaining frontal process of the maxilla; (f) Temporal defect after anterior segment of temporalis muscle directed to orbit (g) Transposition of posterior segment of temporalis muscle to anterior temporal defect (h) Gingivolabial and palatal mucoperiosteum sutured together with the buccal fat in between