OBJECTIVE: To categorize a surgical approach to the skull base. DESIGN
: Retrospective assessment of an evolving concept pertaining to the fa
cial translocation procedure. SETTING: Schematic/conceptual. MAIN OUTC
OME MEASURES: To allow favorable surgical reach of the essential anato
my at the cranial base with the potential for functional and esthetic
reconstruction. INTERVENTION: Systematic craniofacial disassembly. RES
ULTS: The facial translocation technique of modular craniofacial disas
sembly of facial units permits a satisfactory match between a skull ba
se tumor and a selected surgical approach. Individual units have a com
plementary relationship to one another, allowing an expansion of the s
urgical approach as needed.