• Childs Nerv Syst · Jan 2004

    New orbitozygomatic approach by craniotomy.

    • Francisco J Guerrero Jazo.
    • Department of Neurosurgery, Hospital Infantil de México "Federico Gomez", Secretaria de Salud (SSA), Miguel Serrano n. 60-2, Col. Del Valle, Del. Benito Juarez, 03100, México D.F., Mexico. focoguerrero@hotmail.com
    • Childs Nerv Syst. 2004 Jan 1; 20 (1): 50-4.

    IntroductionThe orbitozygomatic extension technique described by Sekhar and Wright requires a temporal basal craniectomy that must be done in order to make osteotomy dissections. In the present work, a technique that includes the base and squamous temporal bone and a craniotomy instead of a craniectomy is shown.MethodThe temporal and masseter muscles are dissected and separated from the temporal and zygomatic bones to facilitate passing them through the zygomatic arch in a caudal direction, which allows a frontotemporal basal craniotomy. Intracranially, a trepan that communicates to the glenoid cavity is done, which permits a temporal basal cut using the pneumatic drill saw. This is done in order to join with the orbital wall osteotomies, which were done in this approach with the craniotomy.

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