THE APPROACH OF SKULL BASE LESIONS IN THE VIEW POINT OF PLASTIC SURGERY.

Lee, Myung Jong; Kim, Dong Hyun; Cho, Eul Je; Chang, Suk Choo; Kim, Han Kyu

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(3):559-569.
Published online May 1, 1997.

THE APPROACH OF SKULL BASE LESIONS IN THE VIEW POINT OF PLASTIC SURGERY.

Myung Jong Lee, Dong Hyun Kim, Eul Je Cho, Suk Choo Chang, Han Kyu Kim

Abstract

Skull base surgery has developed through the evolution of imaging, anatomic research, surgical approach and reconstructive techniques. The basic disciplines of approaching skull base lesions are provide direct vision, minimizing brain retraction, excellent exposure and minimal blood loss. The focus of this report is to review the advantages of skull base approach in our cases and suggest some indications. We experienced 20 cases of skull base surgery by a team approach consisting of a neurosurgeon and plastic surgeon. The surgical approach were supraorbital osteotomy(5 case), orbitozygomatic osteotomy(8 case), orbitozygomaticoglenoid osteotomy (5 case ) and orbitozygomaticoglenoidocondylar osteotomy (2 case). In our experience, these approaches provided excellent exposure of the lesion, direct access to lesions and minimal brain retraction thereby better outcome.