New orbitozygomatic approach by craniotomy.
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.
Guerrero Jazo
Francisco J
FJ
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
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*