{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T01:13:36Z","timestamp":1775610816293,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,5,4]],"date-time":"2018-05-04T00:00:00Z","timestamp":1525392000000},"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":["The Laryngoscope"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To demonstrate anatomic relationships of the far\u2010medial transoral endoscopic assisted approach (FMT\u2010EAA) to the infratemporal fossa (ITF) and define the corridor dimensions, surgical freedom, and limitations associated with this approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cadaveric study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty ITFs (10 specimens) were dissected with the assistance of 0\u2009\u00b0, 30\u2009\u00b0, and 45\u2009\u00b0 rod\u2010lens endoscopes. Image guidance was used to confirm and measure the corridors' structural boundaries and document the anatomical relationships encountered in this approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Access to the ITF via the FMT\u2010EAA can be divided into two secondary surgical corridors: the superomedial and inferolateral triangles, each of which provides access to different areas. The superomedial triangle is bounded medially by the lateral pterygoid plate and posterolateral maxillary sinus wall, superiorly by the greater sphenoid wing, and inferolaterally by the lateral pterygoid muscle. The inferolateral triangle is bounded superiorly by the lower head of the lateral pterygoid muscle, inferiorly by the medial pterygoid muscle, and laterally by the mandible. Using a standard 19\u2010mm endoscope, the FMT\u2010EAA achieves a mean surgical freedom of 231\u2009mm and 161\u2009mm in the vertical and horizontal planes, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>FMT\u2010EAA adequately exposes critical structures of the ITF. This technique is a viable option for the management of selected ITF lesions, either alone or in combination with alternative minimally invasive approaches to the region.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 128:2273\u20132281, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27223","type":"journal-article","created":{"date-parts":[[2018,5,5]],"date-time":"2018-05-05T06:01:06Z","timestamp":1525500066000},"page":"2273-2281","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Analysis of the far\u2010medial transoral endoscopic approach to the infratemporal fossa"],"prefix":"10.1002","volume":"128","author":[{"given":"Hafiz S.","family":"Patwa","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Wexner Medical Center at The Ohio State University Columbus Ohio U.S.A."},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Wake Forest Baptist Medical Center Winston Salem North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8527-1517","authenticated-orcid":false,"given":"Juan C.","family":"Yanez\u2010Siller","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Wexner Medical Center at The Ohio State University Columbus Ohio U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matias","family":"Gomez Galarce","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Wexner Medical Center at The Ohio State University Columbus Ohio U.S.A."},{"name":"Department of Otolaryngology German Hospital of Santiago Santiago Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley A.","family":"Otto","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Wexner Medical Center at The Ohio State University Columbus Ohio U.S.A."},{"name":"Department of Neurosurgery Wexner Medical Center at The Ohio State University Columbus Ohio U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel M.","family":"Prevedello","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Wexner Medical Center at The Ohio State University Columbus Ohio U.S.A."},{"name":"Department of Neurosurgery Wexner Medical Center at The Ohio State University Columbus Ohio U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo L.","family":"Carrau","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Wexner Medical Center at The Ohio State University Columbus Ohio U.S.A."},{"name":"Department of Neurosurgery 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