{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:35:24Z","timestamp":1773707724537,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T00:00:00Z","timestamp":1683072000000},"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":[[2023,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Approximating the maxillary sinus natural ostium's (MSNO) natural position during anterograde surgery is challenging, as only a single visual \u201clandmark,\u201d the maxillary line, is routinely offered to guide the identification of the MSNO in three\u2010dimensional space. Despite almost 40\u2009years of endoscopic sinus surgery (ESS) experience in North America, maxillary recirculation and discontinuity between the natural and surgical ostia are commonly encountered during revision ESS. Consequently, we feel an additional visual landmark would assist in localizing the MSNO with or without image guidance. In this study, we aim to provide a second reliable landmark in the sinonasal cavity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We present a cadaveric anatomical landmark series that provides a second visual landmark for the MSNO, which we have labeled the transverse turbinate line (TTL): a 2\u2010millimeter zone of confidence for the craniocaudal positioning of the MSNO that can be combined with the anteroposterior (AP) landmark of the maxillary line.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In our study, 40 cadaveric sinuses were dissected, and the TTL was found to correspond consistently with the zone between the superior and inferior aspects of the MSNO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We anticipate that this second relational landmark may decrease the time required for anterograde access to the MSNO in trainees, increase the accuracy of identification, and translate to lower long\u2010term recirculation and maxillary surgery failure rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 133:3285\u20133291, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30678","type":"journal-article","created":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T11:33:10Z","timestamp":1683113590000},"page":"3285-3291","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Transverse Turbinate Line: A Reliable Landmark for the Maxillary Sinus Natural Ostium"],"prefix":"10.1002","volume":"133","author":[{"given":"Julia C.","family":"Comer","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Florida College of Medicine  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2244-8204","authenticated-orcid":false,"given":"Andrew O.","family":"Hess","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Florida College of Medicine  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyle E.","family":"Rarey","sequence":"additional","affiliation":[{"name":"Department of Anatomy &amp; Cell Biology University of Florida College of Medicine  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeb M.","family":"Justice","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Florida College of Medicine  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William O.","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Florida College of Medicine  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian C.","family":"Lobo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Florida College of Medicine  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200203000-00001"},{"key":"e_1_2_8_3_1","volume-title":"Cummings Otolaryngology \u2010 Head and Neck Surgery","author":"Flint PW","year":"2015"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5540580302"},{"key":"e_1_2_8_5_1","first-page":"285","article-title":"Ciliary activity and course of secretion currents of the nose","volume":"6","author":"Hilding A","year":"1931","journal-title":"Mayo Clin Proc"},{"issue":"1","key":"e_1_2_8_6_1","first-page":"61","article-title":"ON THE MUCUS FLOW RATE IN THE HUMAN NOSE","volume":"200","author":"EWERT G","year":"1965","journal-title":"Acta Otolaryngol Suppl"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/HED.2890010119"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215109991368"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/S12070-010-0047-Z"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/AR.20859"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556130308200118"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/LARY.22169"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199901000-00006"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200111000-00015"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2010.24.3473"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894221119306"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145561319853260"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.7759\/CUREUS.12727"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1259\/DMFR.20190205"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.2500\/105065895781808757"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.2500\/105065899782106814"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30678","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T11:37:00Z","timestamp":1699961820000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.30678"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,3]]},"references-count":20,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1002\/lary.30678"],"URL":"https:\/\/doi.org\/10.1002\/lary.30678","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,3]]},"assertion":[{"value":"2022-09-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}