{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:57:40Z","timestamp":1793321860907,"version":"4.5.0"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2011,4,19]],"date-time":"2011-04-19T00:00:00Z","timestamp":1303171200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215111000673_sec1\"><jats:title>Introduction:<\/jats:title><jats:p>Surgical approaches to the pterygopalatine and infratemporal fossae are complex and cause significant morbidity. The commonest benign tumour to extend to the pterygopalatine and infratemporal fossae is angiofibroma.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111000673_sec2\"><jats:title>Patients and methods:<\/jats:title><jats:p>This prospective study included 15 male patients aged 12\u201327 years with recurrent, severe epistaxis. After computed tomography and magnetic resonance imaging, a modified Wormald and Robinson's two-surgeon approach was used. Follow up, with endoscopy and magnetic resonance imaging, ranged from two to five years.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111000673_sec3\"><jats:title>Results:<\/jats:title><jats:p>Twelve patients were cured (endoscopically and radiologically). Three patients suffered recurrence, one each in the lateral sphenoid wall, pterygoid canal and infratemporal fossa. Revision surgery was performed, but one patient suffered another recurrence (lateral sphenoid wall with cavernous sinus infiltration) and was referred for gamma knife surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111000673_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>This endoscopic two-surgeon technique is an excellent approach for managing angiofibroma extending to the pterygopalatine and infratemporal fossae. Our modification markedly decreased morbidity by avoiding septum opening and sublabial incision, and by enabling better haemostasis (via maxillary artery control). Recurrence may be minimised by careful examination of the lateral sphenoid wall, pterygoid canal and infratemporal fossa pterygoid muscles.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215111000673","type":"journal-article","created":{"date-parts":[[2011,4,19]],"date-time":"2011-04-19T11:56:39Z","timestamp":1303214199000},"page":"701-705","source":"Crossref","is-referenced-by-count":13,"title":["Transnasal endoscopic management of angiofibroma extending to pterygopalatine and infratemporal fossae"],"prefix":"10.1017","volume":"125","author":[{"given":"S M","family":"El Morsy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y W","family":"Khafagy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2011,4,19]]},"reference":[{"key":"S0022215111000673_ref15","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3270"},{"key":"S0022215111000673_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000174956.90361.dc"},{"key":"S0022215111000673_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.otot.2006.03.006"},{"key":"S0022215111000673_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4160-2445-3.50105-9"},{"key":"S0022215111000673_ref1","volume-title":"An Atlas of Anatomy","author":"Grant","year":"1972"},{"key":"S0022215111000673_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2008.09.012"},{"key":"S0022215111000673_ref17","first-page":"30","article-title":"Endoscopic sublabial transmaxillary approach to the rostral middle fossa","volume":"62","author":"Ong","year":"2008","journal-title":"Neurosurgery"},{"key":"S0022215111000673_ref4","volume-title":"Otolaryngology \u2013 Head and Neck Surgery","author":"Cummings","year":"1998"},{"key":"S0022215111000673_ref14","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2005.19.1.7"},{"key":"S0022215111000673_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100145505"},{"key":"S0022215111000673_ref2","first-page":"242","article-title":"Anatomy of the skull base and the infratemporal fossa","volume":"34","author":"Van Huijzen","year":"1984","journal-title":"Adv Otorhinolaryngol"},{"key":"S0022215111000673_ref18","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.11.1325"},{"key":"S0022215111000673_ref3","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1016\/S0030-6665(20)31941-1","article-title":"The infratemporal fossa approach for the lateral skull base","volume":"17","author":"Fisch","year":"1984","journal-title":"Otolaryngol Clin North Am"},{"key":"S0022215111000673_ref6","first-page":"254","article-title":"Infratemporal fossa approach for lesions in the temporal bone and base of the skull","volume":"34","author":"Fisch","year":"1984","journal-title":"Adv Otorhinolaryngol"},{"key":"S0022215111000673_ref7","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1987.67.4.0488"},{"key":"S0022215111000673_ref11","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1996.01890140012004"},{"key":"S0022215111000673_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200102000-00029"},{"key":"S0022215111000673_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.02.020"},{"key":"S0022215111000673_ref8","first-page":"579","article-title":"Classification of the facial translocation approach to the skull base","volume":"112","author":"Janecka","year":"1995","journal-title":"Otolaryngol Head Neck Surg"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215111000673","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,21]],"date-time":"2021-11-21T22:00:58Z","timestamp":1637532058000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215111000673\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4,19]]},"references-count":19,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2011,7]]}},"alternative-id":["S0022215111000673"],"URL":"https:\/\/doi.org\/10.1017\/s0022215111000673","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4,19]]}}}