Orbitozygomatic craniotomy. Technical note.
The orbitozygomatic approach provides wide, multidirectional access to the anterior and middle cranial fossae, as well as to the upper third of the posterior fossa and clivus. The authors describe technical details of the surgical approach as it has evolved over 3.5 years of experience in 83 consecutive cases. This modified technique eliminates the need for bone reconstruction of the orbital walls to prevent enophthalmos and minimizes the risk of injury to the frontal branch of the facial nerve. At a follow-up evaluation after a period averaging 14 months, all patients were pleased with the cosmetic results of this approach.
Division of Neurological Surgery, Barrow Neurological Institute, Mercy Healthcare Arizona, Phoenix, USA. neuro-pub@mha.chw.edu
J M
JM
Zabramski
T
T
Kiriş
S K
SK
Sankhla
J
J
Cabiol
R F
RF
Spetzler
D001932:Brain Neoplasms / Q000601:surgery; D001933:Brain Stem / Q000601:surgery; D003388:Cranial Fossa, Posterior / Q000601:surgery; D003399:Craniotomy / Q000379:methods*; D004210:Dissection; D015841:Enophthalmos / Q000517:prevention & control; D004954:Esthetics; D005069:Evaluation Studies as Topic; D020220:Facial Nerve Injuries; D000071938:Fasciotomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D010027:Osteotomy; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D012307:Risk Factors; D012535:Scalp / Q000601:surgery; D019291:Skull Base / Q000601:surgery; D019292:Skull Base Neoplasms / Q000601:surgery; D013703:Temporal Muscle / Q000601:surgery; D015050:Zygoma / Q000601:surgery*