This approach involves removing the zygomatic bone and part of the orbital rim
The dura is opened in a C-shaped fashion across the sylvian fissure, with the ends of the “C” roughly bifurcating the exposed portion of the frontal and temporal lobes, and carried as anteriorly as possible. The dura is flapped anteriorly to retract the periorbita and eye out of the field and is sutured to the scalp, with the stitches into the dura placed as low as possible to retract the dura as flat and out of the working view as possible.
