title: New orbitozygomatic approach by craniotomy.
abstract: BACKGROUND
  The orbitozygomatic extension technique described by Sekhar and Wright requires a temporal basal craniectomy that must be done in order to make osteotomy dissections. In the present work, a technique that includes the base and squamous temporal bone and a craniotomy instead of a craniectomy is shown.
  
  
  METHODS
  The temporal and masseter muscles are dissected and separated from the temporal and zygomatic bones to facilitate passing them through the zygomatic arch in a caudal direction, which allows a frontotemporal basal craniotomy. Intracranially, a trepan that communicates to the glenoid cavity is done, which permits a temporal basal cut using the pneumatic drill saw. This is done in order to join with the orbital wall osteotomies, which were done in this approach with the craniotomy.
authors.affiliation: Department of Neurosurgery, Hospital Infantil de México "Federico Gomez", Secretaria de Salud (SSA), Miguel Serrano n. 60-2, Col. Del Valle, Del. Benito Juarez, 03100, México D.F., Mexico. focoguerrero@hotmail.com
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Guerrero Jazo
mesh_terms: D003399:Craniotomy / Q000379:methods*; D005152:Facial Muscles / Q000601:surgery*; D006801:Humans; D019635:Neurosurgical Procedures; D009915:Orbit / Q000601:surgery*; D019291:Skull Base / Q000601:surgery; D015050:Zygoma / Q000601:surgery*