Elsevier

World Neurosurgery

Volume 108, December 2017, Pages 971-972
World Neurosurgery

Letter to the Editor
Feasibility of Using a Superficial Temporal Artery Graft in Internal Maxillary Artery Bypass

https://doi.org/10.1016/j.wneu.2017.08.072Get rights and content

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    Among the principal drawbacks of MaxA exposure is the necessity for zygomatic osteotomy, associated with pain while chewing, as well as the risk of iatrogenic neurovascular injury when performing craniectomy in the floor of the MCF. Wang et al. have supported use of a zygomatic osteotomy in all instances of MaxA-IC bypass,14,17,76,78 providing their own experience to show the usefulness of zygomatic arch osteotomy in improving exposure to, and facilitating dissection of, the MaxA; and many have described the usefulness of MCF floor craniectomy for MaxA exposure.31,34,35 In contrast, Yağmurlu and Spetzler79 argue that neither zygomatic arch osteotomy nor MCF floor craniectomy is necessary to access MaxA for EC-IC bypass.79,80

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