| Three-piece orbitozygomatic approach. | |
| | |
MedLine Citation:
|
PMID: 20173579 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To describe the technical details of a 3-piece orbitozygomatic approach. INTRODUCTION: In a 3-piece orbitozygomatic approach, soft tissue exposure is mostly comparable to the classic frontopterional approach. Osseous resection is a 3-piece operation that consists of first performing anterior and posterior cuts along the zygomatic arch, reflecting it down, attached to the masseter. This is followed by a classic frontotemporosphenoidal craniotomy, and finally, an osteotomy of the orbital rim, roof, and lateral wall of the orbit. RESULTS: When compared with its 1- and 2-piece counterparts, 3-piece orbitozygomatic craniotomy, as described here, is a relatively simple operation and is thus advisable when considering an anterior or middle fossa approach. Brain exposure is wide, whereas cerebral retraction is minimal. We recommend avoiding orbit sectioning as deep as the superior orbital fissure. CONCLUSION: The modifications described herein show the technical features of the 3-piece orbitozygomatic approach, which provides excellent brain exposure with less retraction and a good cosmetic result. |
| | |
Authors:
|
Alvaro Campero; Carolina Martins; Mariano Socolovsky; Rafael Torino; Alexandre Yasuda; Luis Domitrovic; Albert Rhoton |
Related Documents
:
|
20397129 - New approach to the endoscopic repair of a csf leak originating from the lateral recess... 20635449 - Comparison of clinical characteristics between primary and secondary paranasal mucoceles. 15518099 - When can lateral sinus thrombosis be treated conservatively? 7554329 - Plasma catecholamine levels during functional endoscopic sinus surgery. 21264539 - Orbital metastasis of retroperitoneal leiomyosarcoma. 16509499 - Use of a self-expanding stent with balloon angioplasty in the treatment of dural arteri... 20069429 - Minimally invasive primary tha: anterolateral intermuscular approach versus lateral tra... 12675649 - Classifying diabetic foot surgery: toward a rational definition. 21779839 - The association between surgical site infection and previous operation in oral cavity c... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Neurosurgery Volume: 66 ISSN: 1524-4040 ISO Abbreviation: Neurosurgery Publication Date: 2010 Mar |
Date Detail:
|
Created Date: 2010-02-22 Completed Date: 2010-06-08 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: United States |
Other Details:
|
Languages: eng Pagination: E119-20; discussion E120 Citation Subset: IM |
Affiliation:
|
Department of Neurological Surgery, University of Florida, Gainesville, Florida, USA. alvarocampero@yahoo.com.ar |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Cranial Fossa, Anterior / anatomy & histology, surgery* Cranial Fossa, Middle / anatomy & histology, surgery* Craniotomy / methods* Female Frontal Bone / anatomy & histology, surgery Humans Intracranial Aneurysm / pathology, surgery Male Middle Aged Orbit / anatomy & histology, surgery* Osteotomy / methods Postoperative Complications / etiology, prevention & control Reconstructive Surgical Procedures / methods Skull Base / anatomy & histology, surgery* Skull Base Neoplasms / pathology, surgery Sphenoid Bone / anatomy & histology, surgery Temporal Bone / anatomy & histology, surgery Treatment Outcome Zygoma / anatomy & histology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Postoperative continuous paravertebral anesthetic infusion for pain control in posterior cervical sp...
Next Document: Delineation of the nucleus centre median by proton density weighted magnetic resonance imaging at 3 ...