Abstract
The orbitozygomatic approach evolved from a standard frontotemporal flap, to give greater exposure of the skull base while reducing the need for brain retraction during surgery. It has been used for many intracranial pathologies, but consideration should be given to the additional time it requires and the potential for complications from the additional bone cuts and the subsequent reconstruction. Some of the original indications (basilar aneurysms, cavernous sinus tumours) are no longer primarily treated surgically, and the possible alternative of the standard pterional approach should always be considered.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Bilbao CJ, Stofko DL, Dehdashti AR. Cranio-orbitozygomatic approach: technique and modifications: operative techniques in otolaryngology. Head Neck Surg. 2013;24(4):229–34.
Cohen-Gadol A. In reply: the orbitozygomatic craniotomy and its judicious use. Oper Neurosurg (Hagerstown). 2020;19(4):E462.
Cohen-Gadol A. Orbitozygomatic craniotomy. Neurosurg Atlas. https://www.neurosurgicalatlas.com/volumes/cranial-base-surgery/skull-base-exposures/orbitozygomatic-craniotomy
Hakuba A, Liu S, Nishimura S. The orbitozygomatic infratemporal approach: a new surgical technique. Surg Neurol. 1986;26:271–6.
Pieper DR, Al-Mefty O. Cranio-orbito-zygomatic approach. Operat Tech Neurosurg. 1999;2(1):2–9.
Seçkin H, Avci E, Uluç K, Niemann D, Başkaya MK. The work horse of skull base surgery: orbitozygomatic approach. Technique, modifications, and applications. Neurosurg Focus. 2008;25(6):E4.
Zabramski JM, Kiriş T, Sankhla SK, Cabiol J, Spetzler RF. Orbitozygomatic craniotomy. Technical note. J Neurosurg. 1998;89:336–41.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer-Verlag GmbH Germany, part of Springer Nature
About this chapter
Cite this chapter
Cheesman, A., Alusi, G., Sabin, H.I. (2022). Orbitozygomatic Approach. In: Cheesman, A., Alusi, G., Sabin, H.I. (eds) Skull Base Surgery. Springer Surgery Atlas Series. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74259-3_4
Download citation
DOI: https://doi.org/10.1007/978-3-540-74259-3_4
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-74257-9
Online ISBN: 978-3-540-74259-3
eBook Packages: MedicineMedicine (R0)