The trans naso-orbito-maxillary approach to the anterior and middle skull base.

The nose, along with the anterior wall of the maxillary antrum in continuity with the inferior orbital rim, can be transposed on a skin pedicle. This procedure can be combined with a Le Fort I osteotomy and mandibulotomy to gain access to, and to create a space for the delivery of anterior, middle and retromaxillary skull base lesions. The technique is illustrated by a case report and the merits and versatility of this technique are discussed.