Executive Editor: Gregorio Sánchez Aniceto, Marcelo Figari General Editor: Daniel Buchbinder

Authors: Brian Burkey, Neal Futran

Postablative reconstruction

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Coronal approach

Coronal approach

The coronal or bitemporal incision is used to approach the anterior cranial vault, the forehead, and the upper and middle regions of the facial skeleton.

Frontal craniotomy

The frontal craniotomy approach is appropriate for medium size tumors that do not encroach on the optic nerves or cavernous sinus.

Extended frontal craniotomy

The extended frontal craniotomy (extended subfrontal) approach provides the widest access for large tumors and those near the optic chiasm.

Subcranial access osteotomy

The subfrontal approach is ideal for small anterior cranial base tumors and if one olfactory nerve can be spared.

This approach is in principle the same as the cranialization procedure described in the frontal sinus section.

Lateral Rhinotomy

On the nasal side, the tumor can be exposed via a lateral rhinotomy incision or endonasally with endoscopes.

Weber Ferguson

The Weber Ferguson approach is indicated for access for tumors involving the maxilla extending superiorly to the infraorbital nerve and into or involving the orbit. It provides a wide access to all areas of the maxilla and orbital floor.

Lip split

The use of a lip splitting incision with a lateral extension into the neck incision allows for the elevation of a cheek flap and exposure of the hemi mandible.

Visor approach

This approach allows access to virtually any area of the oral cavity or oropharynx but, does require the release and pull through of advanced oromandibular tumors into the neck.

v1.0 2012-07-07