The orbitozygomatic approach.

Abstract

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. CONCLUSION: 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.