The One-Piece Orbitopterional Approach

Norberto Andaluz; Harry R. van Loveren; Jeffrey T. Keller; Mario Zuccarello

doi:10.1055/s-2004-817701

Skull Base, Table of Contents

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

TECHNICAL NOTE

The One-Piece Orbitopterional Approach

Norberto Andaluz¹ , Harry R. van Loveren³ , Jeffrey T. Keller^1,2 , Mario Zuccarello^1,2

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

Abstract

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

Full Text

References

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