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Skull base surgery. 1996 April; 6(2): 125–128.
PMCID: PMC1656571

Fronto-Orbito Zygomatic Approach

A Technical Modification


The fronto-orbito zygomatic approach is part of the surgical armamentarium of modern skull base surgery. As described in the literature, it requires costly technological tools such as powerful drills and saws, to be performed. In the present communication we describe a technical modification that allows the zygoma to be elevated “en bloc” together with the fronto-orbital bone flap by means of appropriate use of the Gigli's saw. Using this technique, adequate replacement of the craniotomy flap requires only two silk sutures. This technical modification, which was already successfully used in over 20 cases, would also allow this useful approach to be performed in those neurosurgical environments where modern costly technology for cranial base surgery is not available.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Al-Mefty O. Supraorbital-pterional approach to skull base lesions. Neurosurgery. 1987 Oct;21(4):474–477. [PubMed]
  • Brunori A, Bruni P, Greco R, Giuffré R, Chiappetta F. Celebrating the centennial (1894-1994): Leonardo Gigli and his wire saw. J Neurosurg. 1995 Jun;82(6):1086–1090. [PubMed]
  • 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 Jan;28(1):105–110. [PubMed]
  • Hakuba A, Liu S, Nishimura S. The orbitozygomatic infratemporal approach: a new surgical technique. Surg Neurol. 1986 Sep;26(3):271–276. [PubMed]
  • Ammirati M, Spallone A, Ma J, Cheatham M, Becker D. An anatomicosurgical study of the temporal branch of the facial nerve. Neurosurgery. 1993 Dec;33(6):1038–1044. [PubMed]

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