Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy; Neurosurgery Unit, Department of Surgical Sciences, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy..
Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Acta Biomed. 2022 Mar 21;92(S4):e2021350. doi: 10.23750/abm.v92iS4.12784.
The cranio-orbito-zygomatic (COZ) approach consists of an extension of the pterional approach characterized by the removal of the superolateral part of the orbital rim and zygoma. This key step tremendously increases the angular exposure to some deep targets and overall surgical freedom to the lesion. In this article we review the technical variations of the COZ approach, mainly focusing on the differential quantitative effects coming from the orbital osteotomy compared to the zygomatic one.
颅眶颧(COZ)入路是翼点开颅入路的一种延伸,其特点是去除眶外侧缘和颧骨的一部分。这一关键步骤极大地增加了对一些深部目标的角度暴露和对病变的整体手术自由度。本文主要从眶骨切开术与颧骨切开术的差异定量效果方面,综述了 COZ 入路的技术变化。