Modified orbitozygomatic craniotomy for large medial sphenoid wing meningiomas

Cheng Mao Cheng, Cheng Fu Chang, Hsin I. Ma, Yung Hsiao Chiang, Sean O. McMenomey, Johnny B. Delashaw

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Modified orbitozygomatic craniotomy (MOZC) is an anterior lateral skull base approach characterized by simplicity and wide exposure. The approach was first introduced in 2003 and there are few clinical reports. This report details treatment of patients with large (>4 cm) sphenoid wing meningiomas via a MOZC approach, and to the authors' knowledge, the first published in English. Total resection was achieved in all 5 patients in this study. One patient experienced a postoperative epidural hematoma that was successfully treated. All patients returned to daily activity without neurological sequellae. The advantages of MOZC are sparing of the zygomatic arch and removal of the orbital rim; hence, the surgeon can plan a capacious operative field without excessive brain retraction and resect the tumor before opening the dura. The MOZC approach is a clinically feasible, low morbidity, surgical option for paraclinoid lesions, such as large sphenoid wing meningiomas.

Original languageEnglish
Pages (from-to)1157-1160
Number of pages4
JournalJournal of Clinical Neuroscience
Volume16
Issue number9
DOIs
Publication statusPublished - Sep 2009
Externally publishedYes

Fingerprint

Craniotomy
Meningioma
Zygoma
Skull Base
Hematoma
Morbidity
Brain
Neoplasms
Therapeutics

Keywords

  • Craniotomy
  • Skull base
  • Sphenoid wing meningioma

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology (medical)

Cite this

Modified orbitozygomatic craniotomy for large medial sphenoid wing meningiomas. / Cheng, Cheng Mao; Chang, Cheng Fu; Ma, Hsin I.; Chiang, Yung Hsiao; McMenomey, Sean O.; Delashaw, Johnny B.

In: Journal of Clinical Neuroscience, Vol. 16, No. 9, 09.2009, p. 1157-1160.

Research output: Contribution to journalArticle

Cheng, Cheng Mao ; Chang, Cheng Fu ; Ma, Hsin I. ; Chiang, Yung Hsiao ; McMenomey, Sean O. ; Delashaw, Johnny B. / Modified orbitozygomatic craniotomy for large medial sphenoid wing meningiomas. In: Journal of Clinical Neuroscience. 2009 ; Vol. 16, No. 9. pp. 1157-1160.
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