Craniofacial Resection procedures require the coordinated efforts of a team of surgeons generally comprised of a skull-base neurosurgeon, an otolaryngologist and a plastic and reconstructive surgeon. Together these specialists work to resect tumors that typically originate in the paranasal sinuses and extend through the skull-base and into the cranial vault. Circumferential visualization of the mass is achieved by trans nasal and simultaneous transcranial exposure. After tumor removal, reconstruction of a watertight barrier is paramount to prevent complications.