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Skull Base 2003; 13(4): 241-246
DOI: 10.1055/s-2004-817701
TECHNICAL NOTE

Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

The One-Piece Orbitopterional Approach

Norberto Andaluz1 , Harry R. van Loveren3 , Jeffrey T. Keller1,2 , Mario Zuccarello1,2
  • 1The Neuroscience Institute: Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio
  • 2Mayfield Clinic and Spine Institute, Cincinnati, Ohio
  • 3University of South Florida, Tampa, Florida
Further Information

Publication History

Publication Date:
03 February 2004 (online)

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ABSTRACT

The orbitopterional approach is an anterior skull base extension of the pterional approach that provides greater exposure to the anterior cranial fossa, supra- and parasellar regions, and anterior communicating artery complex. We describe the surgical technique in a stepwise manner to create a one-piece orbitopterional craniotomy flap; keyholes for the bone cuts are the MacCarty burr-hole and the anterolateral portion of the inferior orbital fissure. This one-piece technique is less complicated than the two-piece orbitopterional craniotomy and eliminates the need for complex reconstruction of cosmetically important areas (i.e., the orbit and forehead).

KEYWORDS

Orbitopterional - anterior skull base - orbital osteotomy

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