{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T01:34:07Z","timestamp":1773279247523,"version":"3.50.1"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T00:00:00Z","timestamp":1654732800000},"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":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215122001323_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>The transnasal endoscopic approach may provide better visualisation and a safer approach to the orbital apex. This study presents a case series of orbital apex lesions managed by this approach.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001323_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>This study was an eight-year retrospective analysis of seven patients who were operated on for orbital apex lesions in two tertiary medical centres.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001323_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Complete tumour removal was performed in three patients and partial removal was performed in four patients. Visual acuity improved in three patients, remained stable in one patient and decreased in the other two patients. The visual field improved in four patients and did not change in two patients. Complications included worse vision and visual fields in 28.6 per cent of patients and late enophthalmos (of \u22121.25 \u00b1 4.6 mm) in 2 patients.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001323_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>The transnasal approach to orbital apex lesions in selected cases may provide a rational alternative to transorbital surgery. Complete tumour removal should be weighed against the risk of damage to the optic nerve.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215122001323","type":"journal-article","created":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T11:49:02Z","timestamp":1654775342000},"page":"419-425","source":"Crossref","is-referenced-by-count":3,"title":["Endoscopic approach for orbital apex lesions: case series and review of the literature"],"prefix":"10.1017","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9572-4623","authenticated-orcid":false,"given":"R","family":"Shemesh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Yakirevitch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Abergel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Leibovitch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G J","family":"Ben Simon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Ben Cnaan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,6,9]]},"reference":[{"key":"S0022215122001323_ref8","first-page":"32","article-title":"Concomitant orbital cavernous hemangioma and solitary fibrous tumor in a 50\u2013years-old man","volume":"1","author":"Ferdousi","year":"2016","journal-title":"J Ophthalmic Optometric Sci"},{"key":"S0022215122001323_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000001180"},{"key":"S0022215122001323_ref7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25539"},{"key":"S0022215122001323_ref12","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1251984"},{"key":"S0022215122001323_ref15","first-page":"159","article-title":"Removal of an orbital apex hemangioma using an endoscopic transethmoidal approach: technical note","volume":"59","author":"Karaki","year":"2006","journal-title":"Neurosurgery"},{"key":"S0022215122001323_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2015.10.009"},{"key":"S0022215122001323_ref14","first-page":"458","article-title":"Posterior nasal septectomy in endoscopic orbital apex surgery","volume":"25","author":"Murchison","year":"2009","journal-title":"Ophthalmic Plast Reconstruct Surg"},{"key":"S0022215122001323_ref16","doi-asserted-by":"crossref","first-page":"58","DOI":"10.4103\/2152-7806.80123","article-title":"Endoscopic endonasal removal of a cavernous hemangioma of the orbital apex","volume":"2","author":"Locatelli","year":"2011","journal-title":"Surg Neurol Int"},{"key":"S0022215122001323_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2006.08.008"},{"key":"S0022215122001323_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2011.09.005"},{"key":"S0022215122001323_ref10","doi-asserted-by":"crossref","first-page":"456","DOI":"10.4103\/1793-5482.181142","article-title":"Solid cystic trigeminal schwannoma with intraorbital extension causing proptosis and vision loss","volume":"11","author":"Gupta","year":"2016","journal-title":"Asian J Neurosurg"},{"key":"S0022215122001323_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/01.iop.0000169254.44642.3d"},{"key":"S0022215122001323_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-3019(03)00136-8"},{"key":"S0022215122001323_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004325"},{"key":"S0022215122001323_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2012.03.003"},{"key":"S0022215122001323_ref6","first-page":"E2","article-title":"Endoscopic endonasal surgery of the midline skull base: anatomical study and clinical considerations","volume":"19","author":"Cavallo","year":"2005","journal-title":"Neurosurg Focus"},{"key":"S0022215122001323_ref9","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19860515)57:10<2006::AID-CNCR2820571022>3.0.CO;2-6"},{"key":"S0022215122001323_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-010-0712-7"}],"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\/S0022215122001323","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T11:01:34Z","timestamp":1679655694000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215122001323\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,9]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["S0022215122001323"],"URL":"https:\/\/doi.org\/10.1017\/s0022215122001323","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,9]]}}}