{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T20:01:06Z","timestamp":1780516866693,"version":"3.54.1"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T00:00:00Z","timestamp":1603843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Juvenile nasopharyngeal angiofibromas (JNAs) are highly vascular and benign tumors that can expand into the skull base. Delay of treatment can result in intracranial invasion, requiring extensive open approaches such as a facial translocation, maxillary swing, or an orbitozygomatic craniotomy. We describe a single\u2010stage, combined endoscopic and transoral approach on a 14\u2010year\u2010old male with extensive high\u2010stage dumbbell\u2010shaped JNA involving the infratemporal fossa, orbit, buccal space, and intracranial extension into Meckel's cave. Successful resection of the tumor and good postoperative outcome was achieved. A transoral approach allowed for greater access to the infratemporal fossa, where endonasal resection was not possible, allowing for improved visualization, greater traction, and dissection. In select highly staged JNAs with significant lateral extension and intracranial involvement, successful and complete resection may be accomplished with this combined approach. Utilization of this approach avoids the morbidity of more invasive open approaches.<\/jats:p>","DOI":"10.1002\/hed.26516","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T08:37:35Z","timestamp":1603874255000},"page":"719-724","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Combined endoscopic and transoral resection of a high\u2010staged juvenile nasopharyngeal angiofibroma: A pictorial essay"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0713-6635","authenticated-orcid":false,"given":"Wilson P.","family":"Lao","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Loma Linda University Medical Center  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristelle J.","family":"Lagabon","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Medicine  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel A.","family":"Arom","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Loma Linda University Medical Center  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9585-2641","authenticated-orcid":false,"given":"Paul C.","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Loma Linda University Medical Center  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve C.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Loma Linda University Medical Center  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2011.06.003"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1676562"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.5604\/01.3001.0012.2303"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000505"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27633"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.83"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23843"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215118001779"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2008.11.005"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.3171\/2014.12.JNS141696"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.109805"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1615810"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-029X.185908"},{"key":"e_1_2_6_15_1","volume-title":"Anatomy, Pterygopalatine Fossa","author":"Cappello ZJ","year":"2020"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2012.03.008"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556131509400615"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/sni.sni_295_16"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198904000-00013"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1996.01890140012004"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1608658"}],"container-title":["Head &amp; 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