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The extended zygomatic-middle fossa approach: anatomical considerations The extended zygomatic-middle fossa approach was initially used to treat trigeminal neuralgia and afterwords, for the removal of intracanalicular acoustic neurinoma. With the improvement of skull base anatomy knowledgment, this surgical technique turned to be used to treat several lesions located in the cavernous sinus, middle fossa, infratemporal fossa and upper clivus. The utilization of an extradural route is the main factor responsible for the very low surgical morbidity of this approach. In this report, the authors shows a clinical and anatomical study of this approach, its indications, limitations, and lesions which can be removed by this surgical technique.

Abordagem zigomática-fossa média ampliada