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Related Concept Videos

Accessory Structures of the Eye01:17

Accessory Structures of the Eye

Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...
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Cranial Bones: Superior and Posterior View

The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

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Related Experiment Video

Updated: Jun 16, 2026

Three-Dimensional Reconstruction of Orbital Fractures
08:18

Three-Dimensional Reconstruction of Orbital Fractures

Published on: May 16, 2025

Three-piece orbitozygomatic approach.

Alvaro Campero1, Carolina Martins, Mariano Socolovsky

  • 1Department of Neurological Surgery, University of Florida, Gainesville, Florida, USA. alvarocampero@yahoo.com.ar

Neurosurgery
|February 23, 2010
PubMed
Summary

The 3-piece orbitozygomatic approach offers wide brain exposure with minimal retraction. This surgical technique provides excellent cosmetic results for anterior and middle fossa approaches.

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Last Updated: Jun 16, 2026

Three-Dimensional Reconstruction of Orbital Fractures
08:18

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Published on: May 16, 2025

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
05:54

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Published on: October 18, 2021

Area of Science:

  • Neurosurgery
  • Surgical Anatomy

Background:

  • The orbitozygomatic approach is a key technique in neurosurgery for accessing anterior and middle cranial fossa lesions.
  • Variations exist, including 1-, 2-, and 3-piece osteotomies, each with specific advantages and disadvantages.

Purpose of the Study:

  • To detail the technical aspects of the 3-piece orbitozygomatic approach.
  • To highlight its benefits in terms of surgical exposure and patient outcomes.

Main Methods:

  • Description of a 3-piece orbitozygomatic craniotomy technique.
  • Involves sequential osseous resection: zygomatic arch (2 cuts), frontotemporal-sphenoidal craniotomy, and orbital osteotomies (rim, roof, lateral wall).
  • Soft tissue dissection is comparable to the standard frontopterional approach.

Main Results:

  • The 3-piece orbitozygomatic approach provides wide brain exposure with significantly reduced cerebral retraction compared to other methods.
  • The procedure is technically straightforward, making it suitable for anterior and middle fossa surgeries.
  • Cosmetic outcomes are favorable.

Conclusions:

  • The described modifications of the 3-piece orbitozygomatic approach offer a safe and effective method for cranial base surgery.
  • It achieves excellent surgical exposure and minimal brain retraction, with good cosmetic results.
  • Caution is advised regarding the depth of orbital sectioning, particularly near the superior orbital fissure.