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Modified Approach for Ethmoid and Anterior Skull Base Surgery
Jacques Pinsolle, MD;
François San-Galli, MD;
François Siberchicot, MD;
Philippe Caix, MD;
Angel Emparanza, MD;
François-Xavier Michelet, MD
Arch Otolaryngol Head Neck Surg. 1991;117(7):779-782.
Abstract
• The use of combined craniofacial resection is well established for tumors of the ethmoid bone and the anterior aspect of the base of the skull. Mobilization of the medial fronto-orbital ridge improves the transbasal approach and can be performed with a monobloc bone flap. We describe an en bloc bifrontal craniotomy including the supraorbital ridges and the nasal bones. This provides a wider angle of approach to the anterior aspect of the base of the skull than any other method and avoids retraction of the frontal lobes. This type of bone flap procedure can be performed after a wide periosteal dissection in the coronal area of the scalp alone, without facial skin incision.
(Arch Otolaryngol Head Neck Surg. 1991;117:779-782)
Author Affiliations
From the Departments of Maxillofacial and Plastic Surgery (Drs Pinsolle, Siberchicot, Caix, Emparanza, and Michelet) and Neurosurgery (Dr SanGalli), Centre Hospitalier Universitaire de Bordeaux (France).
Footnotes
Accepted for publication February 25, 1991.
Read in part before the Third International Head and Neck Oncology Research Conference, Las Vegas, Nev, September 27, 1990.
Reprint Requests to Department of Maxillofacial and Plastic Surgery, Centre Hospitalier Universitaire, 33076 Bordeaux Cédex, France (Dr Pinsolle).
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