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Related Experiment Video

Updated: Jul 3, 2026

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
04:04

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection

Published on: August 15, 2025

Frontotemporal orbitozygomatico-alar approachfor skull surgery.

Y Taguchi, Y Yamaguchi, H Sekino

    Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
    |July 1, 1995
    PubMed
    Summary

    This study introduces a zygoma mobilization technique for skull base surgery, achieving excellent exposure with minimal brain retraction. The approach demonstrated zero operative mortality and acceptable cosmetic outcomes in 22 patients.

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    Area of Science:

    • Neurosurgery
    • Skull Base Surgery
    • Cranial Base Anatomy

    Background:

    • Zygoma mobilization offers improved cranial base exposure.
    • Minimal brain retraction is crucial for patient outcomes.
    • Previous techniques may lead to cosmetic defects.

    Purpose of the Study:

    • To describe a novel operative technique using zygoma mobilization.
    • To present surgical outcomes in patients with skull base neoplasms and cerebral aneurysms.
    • To evaluate the safety and efficacy of this approach.

    Main Methods:

    • Two bone flaps were created: a free frontotemporal flap and en bloc removal of orbital rims/zygomatic arch.
    • This technique preserves orbital integrity, avoiding bony defects.
    • The approach was used in 22 patients (15 skull base neoplasms, 7 cerebral aneurysms).

    Main Results:

    • 17 of 22 patients returned to their previous lifestyle.
    • Four patients required assistance with personal care.
    • Zero operative mortality and minimal approach-related complications were observed.

    Conclusions:

    • Zygoma mobilization provides excellent exposure for complex cranial base pathologies.
    • The described technique avoids cosmetic issues and offers good functional recovery.
    • This approach is recommended for medially located skull base neoplasms and complex cerebral aneurysms.