Skull Base Techniques for Senior Residents-Designing an Anterolateral Skull Base Approach: FTOZ, Surgical Approaches to Cavernous Sinus

Designing an Anterolateral Skull Base Approach: FTOZ, Surgical Approaches to Cavernous Sinus

Video Transcription

Video Summary

The video transcript discusses various anterolateral skull base approaches, specifically focusing on the frontotemporal craniotomy, orbital optic osteotomy, anterior clinoidectomy, and orbitozygomatic approaches. The speaker mentions that the standard frontotemporal craniotomy works well for most cases encountered in day-to-day practice, and only certain cases require more complex approaches such as the orbitozygomatic craniotomy. Examples of such cases include tumors requiring a superior or inferior view, and tumors involving the infratemporal fossa. The speaker also discusses the importance of proper reconstruction after surgery. The anterior clinoidectomy is described as a technique to improve visualization and access to the carotid artery and optic nerve. The speaker mentions different approaches to performing the clinoidectomy and highlights the importance of preserving the distal dural ring and not cutting across the fourth nerve. The video transcript ends with the speaker describing what participants will see during the lab session, which includes the step-by-step demonstration of the orbital zygomatic approach and the observation of the clinoidal segment and surrounding structures.

Asset Subtitle

Presented by Michael J. Link, MD, FAANS

Keywords

anterolateral skull base approaches

frontotemporal craniotomy

anterior clinoidectomy

orbitozygomatic approaches

reconstruction after surgery

fourth nerve preservation