PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of skullbaseInstructions for AuthorsSubscribe to Skull BaseAbout Skull BaseEditorial BoardThieme Medical PublishingSkull Base An Interdisciplinary Approach ...
 
Skull Base. 2001 November; 11(4): 257–264.
PMCID: PMC1656883

Zygomatic Anterior Subtemporal Approach for Lesions in the Interpeduncular Cistern

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.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.7M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Fujitsu K, Kuwabara T. Zygomatic approach for lesions in the interpeduncular cistern. J Neurosurg. 1985 Mar;62(3):340–343. [PubMed]
  • Davies HT, Neil-Dwyer G, Evans BT, Lees PD. The zygomatico-temporal approach to the skull base: a critical review of 11 patients. Br J Neurosurg. 1992;6(4):305–312. [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]
  • Taniguchi M, Perneczky A. Subtemporal keyhole approach to the suprasellar and petroclival region: microanatomic considerations and clinical application. Neurosurgery. 1997 Sep;41(3):592–601. [PubMed]
  • Lesoin F, Pellerin P, Villette L, Dhellemmes P, Jomin M. Monobloc mobilization of the fronto-temporo-pterional bone flap. Technical note. Acta Neurochir (Wien) 1986;82(1-2):68–70. [PubMed]
  • Pellerin P, Lesoin F, Dhellemmes P, Donazzan M, Jomin M. Usefulness of the orbitofrontomalar approach associated with bone reconstruction for frontotemporosphenoid meningiomas. Neurosurgery. 1984 Nov;15(5):715–718. [PubMed]
  • Lesoin F, Thomas CE, 3rd, Pellerin P, Villette L, Autricque A, Jomin M. An orbital-zygomatic-malar bone flap approach: a technical note. Acta Neurochir (Wien) 1986;83(3-4):154–156. [PubMed]
  • Fujitsu K, Kuwabara T. Orbitocraniobasal approach for anterior communicating artery aneurysms. Neurosurgery. 1986 Mar;18(3):367–369. [PubMed]
  • Hakuba A, Liu S, Nishimura S. The orbitozygomatic infratemporal approach: a new surgical technique. Surg Neurol. 1986 Sep;26(3):271–276. [PubMed]
  • Leonetti JP, al-Mefty O, Eisenbeis JF, Carr WC., Jr Orbitocranial exposure in the management of infratemporal fossa tumors. Otolaryngol Head Neck Surg. 1993 Oct;109(4):769–772. [PubMed]
  • Lee JP, Tsai MS, Chen YR. Orbitozygomatic infratemporal approach to lateral skull base tumors. Acta Neurol Scand. 1993 May;87(5):403–409. [PubMed]
  • 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 Nov;71(5 Pt 1):699–704. [PubMed]
  • Seifert V, Dietz H. Combined orbito-frontal, sub- and infratemporal fossa approach to skull base neoplasms. Surgical technique and clinical application. Acta Neurochir (Wien) 1992;114(3-4):139–144. [PubMed]
  • Honeybul S, Neil-Dwyer G, Lees PD, Evans BT, Lang DA. The orbitozygomatic infratemporal fossa approach: a quantitative anatomical study. Acta Neurochir (Wien) 1996;138(3):255–264. [PubMed]
  • Huther G, Dörfl J, Van der Loos H, Jeanmonod D. Microanatomic and vascular aspects of the temporomesial region. Neurosurgery. 1998 Nov;43(5):1118–1136. [PubMed]
  • Alaywan M, Sindou M. Fronto-temporal approach with orbito-zygomatic removal. Surgical anatomy. Acta Neurochir (Wien) 1990;104(3-4):79–83. [PubMed]
  • Day JD, Giannotta SL, Fukushima T. Extradural temporopolar approach to lesions of the upper basilar artery and infrachiasmatic region. J Neurosurg. 1994 Aug;81(2):230–235. [PubMed]
  • Honeybul S, Neil-Dwyer G, Evans BT, Lang DA. The transzygomatic approach: an anatomical study. Br J Oral Maxillofac Surg. 1997 Oct;35(5):334–340. [PubMed]
  • Al-Mefty O. Supraorbital-pterional approach to skull base lesions. Neurosurgery. 1987 Oct;21(4):474–477. [PubMed]
  • Pitelli SD, Almeida GG, Nakagawa EJ, Marchese AJ, Cabral ND. Basilar aneurysm surgery: the subtemporal approach with section of the zygomatic arch. Neurosurgery. 1986 Feb;18(2):125–128. [PubMed]
  • Shigeno T, Tanaka J, Atsuchi M. Orbitozygomatic approach by transposition of temporalis muscle and one-piece osteotomy. Surg Neurol. 1999 Jul;52(1):81–83. [PubMed]
  • Matsuno H, Rhoton AL, Jr, Peace D. Microsurgical anatomy of the posterior fossa cisterns. Neurosurgery. 1988 Jul;23(1):58–80. [PubMed]
  • Pedroza A, Dujovny M, Ausman JI, Diaz FG, Cabezudo Artero J, Berman SK, Mirchandani HG, Umansky F. Microvascular anatomy of the interpeduncular fossa. J Neurosurg. 1986 Mar;64(3):484–493. [PubMed]
  • Neil-Dwyer G, Sharr M, Haskell R, Currie D, Hosseini M. Zygomaticotemporal approach to the basis cranii and basilar artery. Neurosurgery. 1988 Jul;23(1):20–22. [PubMed]

Articles from Skull Base are provided here courtesy of Thieme Medical Publishers