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Skull Base 2002; 12(1): 001-008
DOI: 10.1055/s-2002-21567
ORIGINAL ARTICLE

Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Lateral Orbital Rim Osteotomy in the Treatment of Certain Skull Base Lesions

Michael B. Pritz
  • Section of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana
Further Information

Publication History

Publication Date:
11 March 2002 (online)

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ABSTRACT

Quantitative data from a recent human cadaveric study suggested that removal of the lateral orbital rim alone may be sufficient to reach many targets for which the orbitozygomatic craniotomy has been used. Consequently, a lateral orbital rim osteotomy was substituted for an orbitozygomatic craniotomy in seven patients with a variety of pathologies located in the anterior, middle, and interpeduncular fossae. In each case, lateral orbitotomy provided a satisfactory surgical corridor for diagnosis and treatment. Compared with the orbitozygomatic craniotomy, the lateral orbital rim osteotomy offers several advantages: technical simplicity, shorter operating time, and a low risk of postoperative malocclusion. If, however, prolonged access to a wide expanse of the anterior portion of the middle fossa and inferotemporal area is needed, an orbitozygomatic approach is a better choice.

KEYWORD

Basilar apex - cavernous sinus - orbital lesion - surgical technique

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