SUPRAORBITAL CRANIOTOMY BY FRACTURE OF THE ANTERIOR ORBITAL ROOF

被引：65

作者：

DELASHAW, JB ^{[1
]}

JANE, JA ^{[1
]}

KASSELL, NF ^{[1
]}

LUCE, C ^{[1
]}

机构：

[1] UNIV VIRGINIA,MED CTR,DEPT NEUROSURG,CHARLOTTESVILLE,VA 22901

来源：

JOURNAL OF NEUROSURGERY | 1993年 / 79卷 / 04期

关键词：

SUPRAORBITAL CRANIOTOMY; ORBIT; FRONTAL SINUS; ANTERIOR FOSSA; PERICRANIUM; OPERATIVE TECHNIQUE;

D O I：

10.3171/jns.1993.79.4.0615

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The authors describe a new and rapid method to safely perform a supraorbital craniotomy. This technique can be used when tumor does not invade the orbital roof. Previous descriptions of the supraorbital craniotomy involved exposure of the frontal sinus by removing its anterior wall and using the Gigli saw to separate the orbital roof. This new approach avoids removal of the anterior frontal sinus wall and separates the supraorbital bone flap from the calvaria by fracturing the anterior orbital roof forward. In addition, a method for harvesting a laterally based pericranium and muscle pedicle that contains a section of contralateral temporalis muscle is described. This vascularized pedicle can be used for repair of cerebrospinal fluid leaks or bone defects along the anterior fossa floor and orbit.

引用

页码：615 / 618

页数：4