The Transzygomatic Approach: a Long-term Clinical Review

Overview

Journal Acta Neurochir (Wien)

Specialty Neurosurgery

Date 1995 Jan 1

PMID 8748839

Citations 4

Authors

S Honeybul

G Neil-Dwyer

D A LANG

B T Evans

P D Lees

Affiliations

Soon will be listed here.

Abstract

The transzygomatic approach has been utilised to improve access to the skull base, infratemporal fossa and orbit for a number of years. It provides a low anterolateral approach to the skull base, along the floor of the middle fossa. It allows both a transsylvian and subtemporal approach with a reduction in brain retraction and better exposure of adjacent neurovasculature structures. A long term review of 53 patients is presented highlighting outcome at two years post surgery and morbidity of the approach. It is concluded that the technique is versatile and can be used to improve exposure of a variety of anatomical locations. There is minimal long term morbidity attributable to the surgery of access and the majority of patients have had good outcomes.

Citing Articles

Comparative anatomical study on the role of zygomatic osteotomy in the extradural subtemporal approach to the clival region, when less is more.

Gagliardi F, Piloni M, Bailo M, Boari N, Calvanese F, Spina A Surg Radiol Anat. 2020; 42(5):567-575.

PMID: 31897653 DOI: 10.1007/s00276-019-02407-4.

Indications and Safety of the Zygomatic Osteotomy in Middle Cranial Fossa Surgery: A Retrospective Cohort Review.

Neal E, Pressman E, Athienitis A, Turner A, Ma S, Rao G J Neurol Surg B Skull Base. 2019; 80(3):225-231.

PMID: 31143563 PMC: 6534730. DOI: 10.1055/s-0038-1668519.

A lateral transzygomatic-transtemporal approach to the infratemporal fossa: technical note for mobilization of the second and third branches of the trigeminal nerve.

Terasaka S, Sawamura Y, Goto S, Fukushima T Skull Base Surg. 2006; 9(4):277-87.

PMID: 17171117 PMC: 1656782. DOI: 10.1055/s-2008-1058138.

Lateral Transmandibular Approach to the Skull Base in Children: Three Case Reports.

Kuettner C, Samii M, Hausamen J Skull Base. 2005; 13(2):85-92.

PMID: 15912164 PMC: 1131835. DOI: 10.1055/s-2003-40598.

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