title: The One-Piece Orbitopterional Approach.
abstract: The orbitopterional approach is an anterior skull base extension of the pterional approach that provides greater exposure to the anterior cranial fossa, supra- and parasellar regions, and anterior communicating artery complex. We describe the surgical technique in a stepwise manner to create a one-piece orbitopterional craniotomy flap; keyholes for the bone cuts are the MacCarty burr-hole and the anterolateral portion of the inferior orbital fissure. This one-piece technique is less complicated than the two-piece orbitopterional craniotomy and eliminates the need for complex reconstruction of cosmetically important areas (i.e., the orbit and forehead).
authors.affiliation: The Neuroscience Institute: Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio.
authors.forename: Norberto
authors.initials: N
authors.lastname: Andaluz
authors.forename: Harry R
authors.initials: HR
authors.lastname: van Loveren
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Keller
authors.forename: Mario
authors.initials: M
authors.lastname: Zuccarello