ReviewBrain sciences2022
Cranio-Orbito-Zygomatic Approach: Core Techniques for Tailoring Target Exposure and Surgical Freedom.
Review in Brain sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Unveiling pterion variability: a meta-analytic approach to enhance neurosurgical precision.Surgical and radiologic anatomy : SRA · 2025Pooled it
- Anatomic Variations of the Zygomatic Arch: Rethinking the Indications for the Orbitozygomatic Approach.Neurologia medico-chirurgica · 2026Article
- The AENEAS Project: Intraoperative Anatomical Guidance Through Real-Time Landmark Detection Using Machine Vision.Mayo Clinic proceedings. Digital health · 2026Article
- Subarachnoid cisterns as surgical corridors: Integrating microsurgical anatomy and neuroimaging for intracranial navigation.Surgical neurology international · 2026Review
- A novel classification of the basilar artery bifurcation height and the impact of fetal-type posterior cerebral artery: a radioanatomical study with implications for neurosurgical planning.Surgical and radiologic anatomy : SRA · 2025Article
- Exploring the Lamina Terminalis: A Stepwise Anatomical Comparison of Pterional and Orbitozygomatic Craniotomy Approaches.Life (Basel, Switzerland) · 2025Article
- Extended frontotemporal craniotomy with orbitozygomatic glenoid fossa osteotomy for resection of giant trigeminal schwannoma: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Laser Scanning Morphometric Measurements of the Main Orbital Communications in Dry Human Skulls.Diagnostics (Basel, Switzerland) · 2024Article
- Frontotemporal Orbitozygomatic Transcavernous Approach: Stepwise Cadaveric Dissection for a Safe Corridor.Journal of neurological surgery. Part B, Skull base · 2024Article
- Clinical application of a three-dimensional-printed model in the treatment of intracranial and extracranial communicating tumors: a pilot study.3D printing in medicine · 2024Article
- Surgical management of symptomatic hemangioma of the geniculate ganglion: fascicular-sparing resection or grafting?Neurosurgical review · 2023Review
- The Party Wall: Redefining the Indications of Transcranial Approaches for Giant Pituitary Adenomas in Endoscopic Era.Cancers · 2023Review
- Microneurosurgical anatomy of the basal cisterns: A brief review for cisternostomy.Surgical neurology international · 2023Article
- Post-traumatic intra-orbital meningoencephalocele in adults: technical note on a rare entity and review of the literature.Neurosurgical review · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe cranio-orbito-zygomatic (COZ) approach is a workhorse of skull base surgery, and each of its steps has a precise effect on target exposure and surgical freedom. The present study overviews the key techniques for execution and tailoring of the COZ approach, focusing on the quantitative effects resulting from removal of the orbitozygomatic (OZ) bar, orbital rim, and zygomatic arch.
methodsA PRISMA-based literature review was performed on the PubMed/Medline and Web of Science databases using the main keywords associated with the COZ approach. Articles in English without temporal restriction were included. Eligibility was limited to neurosurgical relevance.
resultsA total of 78 articles were selected. The range of variants of the COZ approach involves a one-piece, two-piece, and three-piece technique, with a decreasing level of complexity and risk of complications. The two-piece technique includes an OZ and orbitopterional variant. Superolateral orbitotomy expands the subfrontal and transsylvian corridors, increasing surgical freedom to the basal forebrain, hypothalamic region, interpeduncular fossa, and basilar apex. Zygomatic osteotomy shortens the working distance of the pretemporal and subtemporal routes.
conclusionSubtraction of the OZ bar causes a tremendous increase in angular exposure of the subfrontal, transsylvian, pretemporal, and subtemporal perspectives avoiding brain retraction, allowing for multiangled trajectories, and shortening the working distance. The COZ approach can be tailored based on the location of the lesion, thus optimizing the target exposure and surgical freedom and decreasing the risk of complications.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.