Becker D, Ammirati M, Black K, Canalis R, Andrews J
Division of Neurosurgery and Head and Neck Surgery, University of California, Los Angeles.
Acta Neurochir Suppl (Wien). 1991;53:89-91. doi: 10.1007/978-3-7091-9183-5_15.
A simple transzygomatic approach to the middle fossa centered on the inferior retraction of the temporal muscle hinged on the transected zygomatic arch is described. This approach allows a very low basal exposure of the middle and temporal fossa minimizing the amount of temporal lobe retraction needed to approach intra and extradural lesion in this location. The upper portion of the infratemporal fossa is also reached after removal of the middle fossa skull base. This approach is simple, easily performed, does not require extensive skull base removal, and still offers excellent visualization of the middle fossa and of the upper infratemporal fossa.
描述了一种以颞肌下牵开为中心、经横断颧弓的简单经颧弓入路至中颅窝的方法。该入路可实现中颅窝和颞窝的极低基底暴露，将接近该部位硬膜内和硬膜外病变所需的颞叶牵开量降至最低。切除中颅窝颅底后也可到达颞下窝上部。该入路简单、易于操作，无需广泛切除颅底，且仍能很好地显露中颅窝和颞下窝上部。
