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J Neurol Surg B Skull Base 2020; 81(04): 450-458
DOI: 10.1055/s-0040-1713855
Surgical Approaches to the Orbit
Review Article

Transcranial Approaches to the Orbit

Paul A. Gardner
1   Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
,
Georgios A. Zenonos
1   Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
,
Cleiton Formentin
1   Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
2   Division of Neurosurgery, University of Campinas, Sao Paulo, Brazil
,
Arseniy Pichugin
1   Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
3   Department of Neurosurgery, Interregional Clinical and Diagnostic Center, Kazan, Russia
› Author Affiliations Source of Funding None.
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Abstract

Transcranial approaches to the orbit provide familiar and flexible approaches with wide access to the majority of the orbit, only limited in the inferomedial orbit. A pterional craniotomy is the predominant approach but can be expanded with an orbital or zygomatic osteotomy for even wider access. Minimally invasive approaches, such as the lateral supraorbital or “eyebrow” supraorbital approach, are options for selected pathologies and minimize morbidity related to the approach.

Keywords

craniotomy - pterional - orbitozygomatic - eyebrow - supraorbital


Publication History

Article published online:
20 July 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 

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