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This was to achieve good recovery outcome, in terms of facial reanimation and preservation of tongue function. Split hypoglossal facial anastomosis technique was used to treat patients with facial nerve paralysis resulting from SBF's. This was to achieve good recovery outcome, in terms of facial reanimation and preservation of tongue function. keratoconus is a common disease in the general population, with prevalence ranging up to 200 per 100000 with a reported increase in Saudi Arabia. Collagen Cross-Linkage is now an established treat