Midfacial Split for Access to the Central Base

  • I. P. Janecka
  • D. W. Nuss
  • Ch. N. Sen
Part of the Acta Neurochirurgica Supplementum book series (NEUROCHIRURGICA, volume 53)


The technique of the madfacial split for access to the central cranial base is described. It provides — using bilateral facial osteotomies and soft tissue mobilization — a unified surgical field extending in the sagittal plane from the anterior cranial fossa floor and sphenoid sinus to the level of the fourth cervical vertebral body. In the axial plane, the periphery of the surgical access may extend to the jugular fossae and the hypoglossal canals. Experiences and results in eight patients are presented.


Sphenoid Sinus Nasolacrimal Duct Infratemporal Fossa Hypoglossal Canal Anterior Ethmoid Artery 
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Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • I. P. Janecka
    • 1
  • D. W. Nuss
    • 1
  • Ch. N. Sen
    • 2
  1. 1.Center for Cranial Base Surgery, Eye and Ear Institute, Department of OtolaryngologyUniversity of PittsburghPittsburghUSA
  2. 2.Department of NeurosurgeryPresbyterian-University HospitalPittsburghUSA

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