{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T12:20:58Z","timestamp":1780402858575,"version":"3.54.1"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T00:00:00Z","timestamp":1689552000000},"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":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>For aggressive maxillary sinus and pterygopalatine fossa (PPF) tumors, an en\u2010bloc pterygomaxillectomy may be indicated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Five head specimens were used to study the feasibility of an en\u2010bloc pterygomaxillectomy. Eighty\u2010five non\u2010pathological CT scans were used to compare the superior edge of the inferior turbinate (IT) and the middle turbinate tail (MT) as landmarks for the pterygoid osteotomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Through a combined sublabial\u2013subperiosteal incision and transoral route, a mid\u2010sagittal osteotomy through the hard palate and an axial osteotomy below the infraorbital foramen were performed. For the endoscopic pterygoid osteotomy, an infra\u2010vidian transpterygoid approach was performed, subsequently removing the pterygomaxillectomy en\u2010bloc. As landmarks, the osteotomies at the level of the MT tail and IT resected the pterygoid plates completely, but the IT osteotomy was further away from the vidian canal (7.5 vs. 6\u2009mm).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The endoscopic\u2010assisted en\u2010bloc pterygomaxillectomy is feasible. The IT landmark is safe and ensures complete resection of the pterygoid plates.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27465","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T13:52:25Z","timestamp":1689601945000},"page":"2718-2729","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Endoscopic\u2010assisted en\u2010bloc pterygomaxillectomy: Identifying an efficient and safe location for the pterygoid osteotomy"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6813-7850","authenticated-orcid":false,"given":"Ainhoa","family":"Garc\u00eda\u2010Lliber\u00f3s","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Valencia University General Hospital  Valencia Spain"},{"name":"Rhoton Neurosurgery and Otolaryngology Anatomy Program Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4840-2485","authenticated-orcid":false,"given":"Daniel I.","family":"Martin\u2010Jimenez","sequence":"additional","affiliation":[{"name":"Rhoton Neurosurgery and Otolaryngology Anatomy Program Mayo Clinic  Rochester Minnesota USA"},{"name":"Department of Otolaryngology University Hospital Virgen Macarena  Seville Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronsard J.","family":"Mondesir","sequence":"additional","affiliation":[{"name":"Rhoton Neurosurgery and Otolaryngology Anatomy Program Mayo Clinic  Rochester Minnesota USA"},{"name":"Department of Otolaryngology Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6463-5000","authenticated-orcid":false,"given":"Edoardo","family":"Agosti","sequence":"additional","affiliation":[{"name":"Rhoton Neurosurgery and Otolaryngology Anatomy Program Mayo Clinic  Rochester Minnesota USA"},{"name":"Department of Neurosurgery Mayo Clinic  Rochester Minnesota USA"},{"name":"Division of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia  Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5497-7517","authenticated-orcid":false,"given":"A. 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