Transcranial approaches to the orbit provide familiar and flexible approaches with
wide access to the majority of the orbit, only limited in the inferomedial orbit.
A pterional craniotomy is the predominant approach but can be expanded with an orbital
or zygomatic osteotomy for even wider access. Minimally invasive approaches, such
as the lateral supraorbital or “eyebrow” supraorbital approach, are options for selected
pathologies and minimize morbidity related to the approach.
Keywords
craniotomy - pterional - orbitozygomatic - eyebrow - supraorbital
