ORBITOZYGOMATIC CRANIOTOMY - TECHNICAL NOTE

The orbitozygomatic approach provides nide, multidirectional access to the anterior and middle cranial fossae, as well as to the upper third of the posterior fossa and clivus. The authors describe technical det ails of the surgical approach as it has evolved over 3.5 years of expe rience in 83 consecutive cases. This modified technique eliminates the need for bone reconstruction of the orbital walls to prevent enophtha lmos and minimizes the risk of injury to the frontal branch of the fac ial nerve. At a follow-up evaluation after a period averaging 14 month s, all patients were pleased with the cosmetic results of this approac h.