The frontotemporal-orbitozygomatic approach: reconstructive technique and outcome

Acta neurochirurgica
A Samy YoussefHarry R van Loveren

Abstract

The frontotemporal-orbitozygomatic (FTOZ) approach, also known as "the workhorse of skull base surgery," has captured the interest of many researchers throughout the years. Most of the studies published have focused on the surgical technique and the gained exposure. However, few studies have described reconstructive techniques or functional and cosmetic outcomes. The goal of this study was to describe the surgical reconstruction after the FTOZ approach and analyze the functional and cosmetic outcomes. Seventy-five consecutive patients who had undergone FTOZ craniotomy for different reasons were selected. The same surgical (one-piece FTOZ) and reconstructive techniques were applied in all patients. The functional outcome was measured by complications related to the surgical approach: retro-orbital pain, exophthalmos, enophthalmos, ocular movement restriction, cranial nerve injuries, pseudomeningocele (PMC) and secondary surgeries required to attain a reconstructive closure. The cosmetic outcome was evaluated by analyzing the satisfaction of the patients and their families. Questionnaires were conducted later in the postoperative period. A statistical analysis of the data obtained from the charts and questions was performed. Of t...Continue Reading

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Citations

Jul 20, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Alvaro CamperoAlbert Rhoton
Jun 11, 2015·Surgical Neurology International·Akash J Patel, Edward A M Duckworth
May 4, 2015·Clinical Neurology and Neurosurgery·Jacob RuzevickMichael Lim
Dec 3, 2014·Ophthalmology·Shilpa J DesaiJonathan C Horton
Apr 11, 2018·Journal of Korean Neurosurgical Society·López-Elizalde RamiroGodínez-Rubí Marisol
May 24, 2018·Journal of Neurosurgical Sciences·Mohammed H Aref, A Samy Youssef
May 24, 2016·Current Opinion in Ophthalmology·Richard C Allen
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Dec 1, 2016·Operative Neurosurgery·Satoshi MatsuoAlbert L Rhoton
Aug 26, 2017·Operative Neurosurgery·Anthony M BurrowsJamie J Van Gompel
May 4, 2020·Journal of Neuro-oncology·Justin N Karlin, Howard R Krauss
Feb 6, 2017·Journal of Neurosurgery·Nicola BoariPietro Mortini
Apr 9, 2020·Ophthalmic Plastic and Reconstructive Surgery·Oluwatobi O IdowuM Reza Vagefi
May 21, 2021·The Journal of Craniofacial Surgery·Alfio SpinaPietro Mortini

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