Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Saving the frontal branch during a low fronto-orbital approach


This report describes the anatomy of the frontal branch of the seventh nerve and a technique for assuring its preservation when doing a low frontal approach. By dissecting under both layers of the temporal fascia, rapid and safe access to the inferior fronto-orbital region may be achieved. This technique is recommended for exposure of a bony lesion in the fronto-orbital region and when performing an osteoplastic pterional craniotomy.

This is a preview of subscription content, log in to check access.


  1. 1.

    Casanova R, Cavalcante D, Grotting JC, Vasconez LO, Psillakis JM: Anatomic basis for vascularized outer-table calvarian bone flaps. Plast Reconstr Surg. 78: 300, 1986

  2. 2.

    Labbe D, Hubert P, Rigot-Jovilet M, Madjidi A: Subperiosteal subtemporal approach: Technique and applications. Neurosurgery 30: 744, 1992

  3. 3.

    Pitanguy I, Silveira R: The frontal branch of the facial nerve: The importance of its variations in face lifting. Plast Reconstr Surg 38: 352, 1966

  4. 4.

    Ramirez OM, Maillard GF, Musolas A: The extended subperiosteal face lift—a definitive soft-tissue remodeling for facial rejuvenation. Plast Reconstr Surg 88: 227, 1991

  5. 5.

    Yasargil MG, Reichman MV, Kubik S: Preservation of the frontotemporal branch of the facial nerve using the interfascial temporalis flap for pterional craniotomy. J Neurosurg 67: 463, 1987

Download references

Author information

Correspondence to J. Hochberg M.D..

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Hochberg, J., Kaufman, H. & Ardenghy, M. Saving the frontal branch during a low fronto-orbital approach. Aesth. Plast. Surg. 19, 161–163 (1995).

Download citation

Key words

  • Facial nerve
  • Frontal branch
  • Anatomy