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thank you so much good morning and theyamp;#39;re calling some friends ladies and gentlemen itamp;#39;s a great honor to be here in doha and in the middle east itamp;#39;s actually the first time in the middle east i hope it wonamp;#39;t be the last and i work in this unit over here itamp;#39;s teaching and university hospital in stockholm affiliated with the karolinska institute where I have my research and I will speak a little bit how I do a facial reconstruction in combination with an osteotomy so the short version of this talk would be during across copy prepare notch address of the pathology harvester graft do osteotomy do not increase the slope use a suitable plate possible bond graph to build tunnels and fix the a cell but the problem is a little bit greater than that so we have to take it more slowly and we have this symptomatic or rainy with instability and how to deal with that well theyamp;#39;re different ways to proceed but which is the best way to go down the line