Gardner Paul A, Zenonos Georgios A, Formentin Cleiton, Pichugin Arseniy
Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States.
Division of Neurosurgery, University of Campinas, Sao Paulo, Brazil.
J Neurol Surg B Skull Base. 2020 Aug;81(4):450-458. doi: 10.1055/s-0040-1713855. Epub 2020 Jul 20.
Transcranial approaches to the orbit provide familiar and flexible approaches with wide access to the majority of the orbit, only limited in the inferomedial orbit. A pterional craniotomy is the predominant approach but can be expanded with an orbital or zygomatic osteotomy for even wider access. Minimally invasive approaches, such as the lateral supraorbital or "eyebrow" supraorbital approach, are options for selected pathologies and minimize morbidity related to the approach.
经颅入路至眼眶提供了熟悉且灵活的入路方式，可广泛进入眼眶的大部分区域，仅在内下眼眶区域受限。翼点开颅术是主要的入路，但可通过眶部或颧骨截骨术进行扩展以获得更广泛的入路。微创入路，如外侧眶上或“眉部”眶上入路，是某些特定病变的选择，可将与入路相关的发病率降至最低。
