{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T11:02:27Z","timestamp":1779706947184,"version":"3.53.1"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100010270","name":"Capital Health Research and Development of Special Fund","doi-asserted-by":"publisher","award":["2020\u20111\u20112051"],"award-info":[{"award-number":["2020\u20111\u20112051"]}],"id":[{"id":"10.13039\/501100010270","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["World j. otorhinolaryngol.-head neck surg."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Endoscopic orbital surgery is likely a reasonable option for patients with orbital cavernous hemangiomas (OCH) medial to the optic nerve (ON). The endoscopic resection of OCH lateral to the ON is extremely challenging. Zhou et al. first described the endoscopic prelacrimal recess approach (PLRA) for the management of the maxillary sinus and skull base. However, the application of PLRA for endoscopic resection of OCH has not been reported. Here, we report a novel modification of the PLRA termed the prelacrimal transmaxillary\u2010orbital approach (PLTMOA) for endoscopic resection of extraconal OCH lateral to the ON. A 58\u2010year\u2010old female presented with a 4\u2010year history of left extraconal OCH causing left proptosis and diplopia. The imaging revealed the tumor to be localized inferolateral to the ON within the extraconal space. The tumor was resected entirely without complications via PLTMOA, and no recurrence was observed during 26 months of follow\u2010up. The PLTMOA technique comprises four key steps: (1) creation of a prelacrimal recess window, (2) entry into the maxillary sinus, (3) exposure of the orbital floor and osteotomy of the orbital floor (orbital window), and (4) dissection to achieve complete tumor excision. This approach represents the first reported application of a PLTMOA for extraconal OCHs inferolateral to the ON, providing direct access to the orbit while preserving the integrity of the nasolacrimal duct.<\/jats:p>","DOI":"10.1002\/wjo2.70092","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T11:55:06Z","timestamp":1773748506000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prelacrimal Transmaxillary\u2010Orbital Approach for Resection of Lateral Extraconal Orbital Cavernous Hemangioma"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4777-6127","authenticated-orcid":false,"given":"Zhen\u2010Xiao","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery,Beijing Tongren Hospital Capital Medical University Beijing China"},{"name":"Key Laboratory of Otorhinolaryngology and Head and Neck Surgery Ministry of Education Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Qing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery,Beijing Tongren Hospital Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery,Beijing Tongren Hospital Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22316"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949910800208"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22383"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.23141"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.0366-6999.20121754"},{"issue":"5","key":"e_1_2_11_7_1","first-page":"328","article-title":"[Endoscopic Transpterygoid Intervention of Meningoencephalocele Within Lateral Recess of Sphenoid]","volume":"42","author":"Zhou B.","year":"2007","journal-title":"Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30131"},{"issue":"10","key":"e_1_2_11_9_1","first-page":"743","article-title":"Endoscopic Nasal Lateral Wall Dissection Approach to Maxillary Sinus","volume":"42","author":"Zhou B.","year":"2007","journal-title":"Chinese Journal of Otorhinolaryngology Head and Neck Surgery"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1945892418801243"},{"issue":"10","key":"e_1_2_11_11_1","first-page":"802","article-title":"[Removal of Schwannoma in the Pterygopalatine and Infratemporal Fossa via Endoscopic Prelacrimal Recess Approach]","volume":"48","author":"Zhou B.","year":"2013","journal-title":"Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/01945998211068429"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22368"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-024-08932-2"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-024-08551-x"}],"container-title":["World Journal of Otorhinolaryngology - Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.70092","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/wjo2.70092","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.70092","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T10:05:17Z","timestamp":1779703517000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjo2.70092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,17]]},"references-count":14,"alternative-id":["10.1002\/wjo2.70092"],"URL":"https:\/\/doi.org\/10.1002\/wjo2.70092","archive":["Portico"],"relation":{},"ISSN":["2095-8811","2589-1081"],"issn-type":[{"value":"2095-8811","type":"print"},{"value":"2589-1081","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,17]]},"assertion":[{"value":"2025-07-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"wjo2.70092"}}