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Skull Base 2001; 11(4): 257-264
DOI: 10.1055/s-2001-18632
ORIGINAL ARTICLES

Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Zygomatic Anterior Subtemporal Approach for Lesions in the Interpeduncular Cistern

Haluk Deda, Hasan Çaglar Ugur
  • Department of Neurosurgery, Division of Skull Base Surgery, Ankara University, School of Medicine, Ankara, Turkey
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Publikationsverlauf

Publikationsdatum:
28. November 2001 (online)

    Lizenzen und Reprints

ABSTRACT

The interpeduncular cistern is a difficult region to approach through conventional methods due to its deep location and important adjacent neurovascular structures. Therefore, it is usually difficult to expose the region sufficiently. Technical problems associated with various surgical approaches have led to emergence of combined approaches and their modifications (i.e., the removal of the zygomatic arch). In addition, a frontotemporal craniotomy is reported to provide a wide exposure of the anterior temporal base, thus allowing oblique access to the interpeduncular cistern with minimal brain retraction. This study describes clinicians' experience and the surgical results of 24 patients who underwent a zygomatic anterior subtemporal approach.

KEYWORD

Basilar aneurysm - chordoma - craniopharyngiomas - interpeduncular cistern - skull base - zygomatic approach

REFERENCES

  • 1 Fujitsu K, Kuwabara T. Zygomatic approach for lesions in the interpeduncular cistern.  J Neurosurg . 1985;  62 340-343
    CrossrefPubMedGoogle Scholar
  • 2 Davies H T, Neil-Dwyer G, Lees P D. The zygomatico-temporal approach to the skull base: a critical review of 11 patients.  Br J Neurosurg . 1992;  6(4) 305-312
    PubMedGoogle Scholar
  • 3 Ikeda K, Yamashita J, Hashimoto M, Futami K. Orbitozygomatic temporopolar approach for a high basilar tip aneurysm associated with a short intracranial internal carotid artery: a new surgical approach.  Neurosurgery . 1991;  28(1) 105-110
    CrossrefPubMedGoogle Scholar
  • 4 Taniguchi M, Perneczky A. Subtemporal keyhole approach to the suprasellar and petroclival region: microanatomic considerations and clinical application.  Neurosurgery . 1997;  41(3) 592-601
    CrossrefPubMedGoogle Scholar
  • 5 Lesoin F, Pellerin P, Villette L, Dhellemmes P, Jomin M. Monobloc mobilization of the fronto-temporo-pterional bone flap.  Acta Neurochir (Wien). 1986;  82 68-70
    CrossrefPubMedGoogle Scholar
  • 6 Pellerin P, Lesoin F, Dhellemmes P, Donazzan M, Jomin M. Usefulness of the orbitofrontomalar approach associated with bone reconstruction for frontotemporosphenoid meningiomas.  Neurosurgery . 1984;  15(5) 715-718
    CrossrefPubMedGoogle Scholar
  • 7 Lesoin F, Thomas III E C, Pellerin P, Villette L, Autricque A, Jomin M. An orbital-zygomatic-malar bone flap approach: a technical note.  Acta Neurochir (Wien) . 1986;  83 154-156
    CrossrefPubMedGoogle Scholar
  • 8 Fujitsu K, Kuwabara T. Orbitocraniobasal approach for anterior anterior communicating artery aneurysms.  Neurosurgery . 1986;  18(3) 367-369
    PubMedGoogle Scholar
  • 9 Hakuba A, Liu S, Nishimura S. The orbitozygomatic infratemporal approach: a new surgical technique.  Surg Neurol . 1986;  26 271-276
    CrossrefPubMedGoogle Scholar
  • 10 Leonetti J P, Al-Mefty O, Eisenbeis J F, Carr W C. Orbitocranial exposure in the management of infratemporal fossa tumors.  Otolaryngol Head Neck Surg . 1993;  109(4) 769-772
    PubMedGoogle Scholar
  • 11 Lee J P, Tsai M S, Chen Y R. Orbitozygomatic infratemporal approach to lateral skull base tumors.  Acta Neurochir Scand . 1993;  87 403-409
    PubMedGoogle Scholar
  • 12 Hakuba A, Tanaka K, Suzuki T, Nishimura S. A combined orbitozygomatic infratemporal epidural and subdural approach for lesions involving the entire cavernous sinus.  J Neurosurg . 1989;  71 699-704
    CrossrefPubMedGoogle Scholar
  • 13 Seifert V, Dietz H. Combined orbito-frontal, sub- and infratemporal fossa approach to skull base neoplasms.  Acta Neurochir (Wien). 1992;  114 139-144
    CrossrefPubMedGoogle Scholar
  • 14 Honeybul S, Neil-Dwyer G, Lees P D, Evans B T, Lang A. The orbitozygomatic infratemporal fossa approach: a quantative anatomical study.  Acta Neurochir (Wien) . 1996;  138 255-264
    CrossrefPubMedGoogle Scholar
  • 15 Huther G, Dörfl J, Van der Loos H, Jeanmonod D. Microanatomic and vascular aspect of the temporomesial region.  Neurosurgery . 1998;  43(5) 1118-1136
    PubMedGoogle Scholar
  • 16 Alaywan M, Sindou M. Fronto-temporal approach with orbito-zygomatic removal.  Acta Neurochir (Wien) . 1990;  104 79-83
    CrossrefPubMedGoogle Scholar
  • 17 Day J D, Giannotta S L, Fukushima T. Extradural temporopolar approach to lesion of the upper basilar artery and infrachiasmatic region.  J Neurosurg . 1994;  81 230-235
    CrossrefPubMedGoogle Scholar
  • 18 Uttley D, Archer D J, Marsh H T, Bell B A. Improved access to lesion of the central skull base by mobilization of the zygoma: experience with 54 cases.  Neurosurgery . 1991;  28(1) 99-104
    PubMedGoogle Scholar
  • 19 Honeybul S, Neil-Dwyer G, Lees P D, Evans B T, Lang A. The transzygomatic approach: an anatomical study.  Br J Oral Maxillofac Surg . 1997;  35 334-340
    CrossrefPubMedGoogle Scholar
  • 20 Al-Mefty O. Supraorbital-pterional approach to skull base lesions.  Neurosurgery . 1987;  21(4) 474-477
    CrossrefPubMedGoogle Scholar
  • 21 Pitelli S D, Almeida G GM, Nakagawa E J, Marchese A JT, Cabral N D. Basilar aneurysm surgery: the subtemporal approach with section of the zygomatic arc.  Neurosurgery . 1986;  18(2) 125-128
    CrossrefPubMedGoogle Scholar
  • 22 Shigeno T, Tanaka J, Atsuchi M. Orbitozygomatic approach by transposition of temporalis muscle and one-piece osteotomy.  Surg Neurol . 1999;  52 81-83
    CrossrefPubMedGoogle Scholar
  • 23 Matsuno H, Rhoton A L, Peace D. Microsurgical anatomy of the posterior fossa cisterns.  Neurosurgery . 1988;  23(1) 58-80
    PubMedGoogle Scholar
  • 24 Pedroza A, Dujovny M, Ausman J I. Microvascular anatomy of the interpeduncular fossa.  J Neurosurg . 1986;  64 484-493
    PubMedGoogle Scholar
  • 25 Neil-Dwyer G, Sharr M, Haskell R, Currie D, Hosseini M. Zygomaticotemporal approach to the basis cranii and basilar artery.  Neurosurgery . 1988;  23(1) 20-22
    CrossrefPubMedGoogle Scholar