The orbitozygomatic craniotomy and its judicious Use

Research output: Contribution to journalArticle

Abstract

The concept of maximizing bone removal along the skull base has been advocated to expand the operative space for large, frm, and encasing ventral and ventrolateral skull base tumors. However, indications for the use of such osteotomies have not been well defned. The improved maneuverability and enhanced extent of expansion of the operative corridor via the skull base approaches compared to those of standard craniotomies have been based on cadaveric studies that might not simulate the operative environment realistically. Bony removal alone is not adequate to protect neurovascular structures, and strategic use of dynamic retraction and innovative operative routes are some of the other factors that contribute to successful microsurgery. In this analysis, the more discriminate indications and modifed techniques for orbitozygomatic osteotomy are discussed.

Original languageEnglish (US)
Pages (from-to)559-569
Number of pages11
JournalOperative Neurosurgery
Volume18
Issue number5
DOIs
StatePublished - May 1 2020
Externally publishedYes

Keywords

  • Craniotomy
  • OZ
  • Operative anatomy
  • Orbitozygomatic
  • Virtual reality

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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