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Abstract


Radical removal of extensive tumors in the parasellar region interpeduncular fossa and cavernous sinus. or the clipping of the distal posterior circulation is very difficult via conventional approach Seven patients with tumors in the paraseila.
cavernous sinus and subtemporal area. and six patients with aneurysms of distal posterior circulation were treated by using cranio-orbital zygomatic approach. with good results. The advantages of this approach are minimal brain retraction.
exposure
of
lesion in shortest distance. multidirectional viewing of the lesion and a single cranial bone flap with relative good cosmetic result.
Our cases treated via this approach are as yet insufficient to compare this approach with other conventional operative approach in definitive advantages but we suggest that this approach is one of the best suitable approach for deep large lesions
in the
anterior and middle cranial fossae.

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