Summary
A simple transzygomatic approach to the middle fossa centered on the inferior retraction of the temporal muscle hinged on the transected zygomatic arch is described. This approach allows a very low basal exposure of the middle and temporal fossa minimizing the amount of temporal lobe retraction needed to approach intra and extradural lesion in this location. The upper portion of the infratemporal fossa is also reached after removal of the middle fossa skull base. This approach is simple, easily performed, does not require extensive skull base removal, and still offers excellent visualization of the middle fossa and of the upper infratemporal fossa.
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References
Al-Mefty O, Anand VK (1990) Zygomatic approach to skull-base lesions. J Neurosurg 73: 668–673
Attia EL, Bentley KC, Head T (1984) A new external approach to the pterygomaxillary fossa and parapharyngeal space. Head Neck Surg 6: 884–891
Fish U, Pillsbury HC (1979) Infratemporal fossa approach to lesions in the temporal bone and base of the skull. Arch Otolaryngol 105: 99–107
Fujitsu K, Kuwabara T (1985) Zygomatic approach for lesions in the interpeduncular cistern. J Neurosurg 62: 340–343
Gates GA (1988) The lateral facial approach to the nasopharynx and infratemporal fossa. Otolaryngol Head Neck Surg 99: 321–325
Hakuba A, Liu S, Nishimura S (1986) The orbitozygomatic infratemporal approach: a new surgical technique. Surg Neurol 26: 271–276
Pellerin P, Lesoin F, Dhellemmes P, Domazzan M, Jomin M (1984) Usefulness of the orbitofrontomalar approach associated with bone reconstruction for frontotemporosphenoid meningiomas. Neurosurgery 15: 715–718
Sekhar LN, Schramm VL, Jones NF (1987) Subtemporal- preauricular infratemporal fossa approach to large lateral and posterior cranial base neoplasms. J Neurosurg 67: 488–499
Yasargil MG, Reichmann MV, Kubik S (1987) Preservation of the frontotemporal branch of the facial nerve using the interfascial temporalis flap for pterional craniotomy. J Neurosurg 67: 463–466
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© 1991 Springer-Verlag
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Becker, D., Ammirati, M., Black, K., Canalis, R., Andrews, J. (1991). Transzygomatic Approach to Tumours of the Parasellar Region. Technical Note. In: Koos, W., Richling, B. (eds) Processes of the Cranial Midline. Acta Neurochirurgica Supplementum, vol 53. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9183-5_15
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DOI: https://doi.org/10.1007/978-3-7091-9183-5_15
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-9185-9
Online ISBN: 978-3-7091-9183-5
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