The orbitozygomatic approach.
OBJECTIVE
The orbitozygomatic approach is a modification and extension of the pterional craniotomy to gain a wider exposure of structures at a cranial base. To simplify the understanding and performance of the approach, we developed a teaching video that follows a systematic approach to the surgical anatomy and technique.


METHODS
The authors have incorporated three-dimensional (3D) renderings into the descriptions of the surgical technique and contemporary computer animation is used to demonstrate surgical details and nuances of the procedure.


RESULTS
A teaching video was compiled, and it was well received by neurosurgical residents in Europe and Canada.


CONCLUSIONS
With mastery in the surgical laboratory and with guided supervision, the approach can be routinely applied without adding morbidity to a variety of pathologies such as aneurysms and tumors.
Department of Neurosurgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. W.R.vanFurth@amc.uva.nl
Wouter Ralph
WR
van Furth
Anne Maria R
AM
Agur
Nicholas
N
Woolridge
Michael D
MD
Cusimano
D001927:Brain Diseases / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D009493:Neurosurgery / Q000379:methods; D009915:Orbit / Q000601:surgery*; D015050:Zygoma / Q000601:surgery*