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[The orbitozygomatic approach. History, technique, and modifications].

S A Melchenko1, A V Kozlov1, A A Abramyan1

  • 1Burdenko Neurosurgical Center, Moscow, Russia.

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|July 25, 2019
PubMed
Summary

The orbitozygomatic approach (OZA) is a valuable neurosurgical technique, but a clear algorithm for selecting the best OZA option is missing. Further research is needed to compare OZA variations for specific pathologies.

Keywords:
brain tumororbital osteotomyorbitozygomatic approachskull basesupraorbital approach

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Area of Science:

  • Neurosurgery
  • Surgical Approaches
  • Skull Base Surgery

Background:

  • The orbitozygomatic approach (OZA) has been utilized in neurosurgery since the 1980s.
  • Numerous modifications and clinical developments exist for the OZA.
  • Current neurosurgical practice lacks a standardized algorithm for selecting OZA variations based on pathology.

Purpose of the Study:

  • To review the existing literature on the orbitozygomatic approach (OZA).
  • To identify the need for an evidence-based algorithm for OZA selection in neurosurgery.
  • To assess the current evidence supporting different OZA modifications.

Main Methods:

  • A comprehensive literature search was conducted on PubMed and Medscape.
  • Keywords used included 'orbitozygomatic'.
  • Analysis focused on 72 relevant full-text publications after initial screening of 447 articles.

Main Results:

  • No studies demonstrated disadvantages of OZA compared to traditional craniotomies.
  • The literature primarily consists of case reports or mentions of OZA without detailed comparison.
  • Existing recommendations for OZA selection are based on expert opinion, indicating a low level of evidence.

Conclusions:

  • The utility of the orbitozygomatic approach in neurosurgery is well-established.
  • Despite numerous OZA modifications, a lack of comparative studies hinders optimal selection.
  • An algorithm is needed to guide the choice of OZA based on specific pathological conditions and anatomical features.