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Lint: frontoethmoidal-encephalocele-1

Semicolons
suggestion

"Presentation depends on the location and size of the defect and protrusion. If large the obvious facial deformity will be present with a mass of variable appearance (sessile or pedunculated; normal skin colour or pigmentation, soft or firm, may have hypertrichosis) 3."

Line 11:193 · Use semicolons judiciously.
Oxford Comma
suggestion

"Presentation depends on the location and size of the defect and protrusion. If large the obvious facial deformity will be present with a mass of variable appearance (sessile or pedunculated; normal skin colour or pigmentation, soft or firm, may have hypertrichosis) 3."

Line 11:217 · Use the Oxford comma in 'pigmentation, soft or firm'.
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