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September 10, 2025World NeurosurgeryOpen Access

Comparison of the Orbitozygomatic and Transmandibular Approach to the Infratemporal Fossa

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Anatomical comparison reveals the distinct benefits of the orbitozygomatic and transmandibular approaches for accessing the infratemporal fossa.

The orbitozygomatic approach offers wide exposure of the anterior and middle infratemporal fossa, enhancing surgical access.
Notable findings include limited access to posterior infratemporal fossa structures using the orbitozygomatic approach.
The transmandibular approach provides superior control over the maxillary artery and exposure to cranial nerves IX-XII.
Integrating both approaches may tailor surgical strategies for complex skull base procedures involving the infratemporal fossa.

Aydın et al. (2025) studied this question.

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Anatomical comparison reveals the distinct benefits of the orbitozygomatic and transmandibular approaches for accessing the infratemporal fossa.