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8 minutes). The MITF technique exposed the longest IMAX segment (mean, 18.8 ± 3.5 mm). Advantages of the AMITF and MITF techniques include anatomic simplicity, absence of skull base drilling, and greater discretion in muscle dissection. These properties can simplify the anastomosis procedure compared with the ALMF and LMF techniques. Identification of the IMAX pattern is important before selecting the approach for this bypass operation. Advantages of the AMITF and MITF techniques include anatomic simplicity, absence of skull base drilling, and greater discr

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