{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T22:37:21Z","timestamp":1761345441285,"version":"build-2065373602"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B Skull Base"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The aim of this study was to describe our experience using the transorbital endoscopic approach (TEA) in the frontal sinus and the step-by-step technique used.<\/jats:p>\n                  <jats:p>We reviewed the charts from adult patients who underwent management of frontal sinus lesions with TEA performed from 2017 to 2022.<\/jats:p>\n                  <jats:p>Seven patients underwent eight surgeries for frontal sinus lesions using TEA in combination with the endoscopic transnasal approach (ETA), with the majority on the left side (5\/8, 62.5%). The average age was 53.9 years, with six male patients and one female patient. Gross total resection (GTR) was achieved in all cases. The most common symptoms leading to surgery were headaches or a sensation of pressure in the forehead (5\/8, 62.5%), followed by a decreased sense of smell (3\/8, 37.5%), diplopia (3\/8, 37.5%), proptosis (2\/8, 20%), periorbital cellulitis (2\/8, 20%), and decreased visual acuity (1\/8, 12.5%). The most common etiology in this case series was mucocele (5\/8, 62.5%), followed by osteoid osteoma (2\/8, 20%), and inverted papilloma (1\/8, 12.5%). The length of stay in all cases was 1 day. The most common complication was mild and transitory V1 numbness, which fully recovered after 6 months (5\/8, 62.5%). The average follow-up period was 24.6 months (range of 3\u201348 months).<\/jats:p>\n                  <jats:p>Transoral Endoscopic Approach (TEA) demonstrated being a valuable complement to ETA approaches for treating frontal sinus lesions, especially in challenging regions. The transorbital approach is feasible and can safely achieve GTR for a variety of pathologies while effectively controlling symptoms and resulting in a 1-day hospital stay.<\/jats:p>","DOI":"10.1055\/a-2441-0903","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T19:07:56Z","timestamp":1728932876000},"page":"726-732","source":"Crossref","is-referenced-by-count":0,"title":["Transorbital Endoscopic Approach for Managing Challenging Frontal Sinus Lesions: Results and Operative Technique Description"],"prefix":"10.1055","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8850-1752","authenticated-orcid":false,"given":"Marcos Ezequiel","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, School of Medicine, McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Mastrolonardo","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, School of Medicine, McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessy","family":"Moore","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, School of Medicine, McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doron D.","family":"Sommer","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kesava","family":"Reddy","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, School of Medicine, McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1055\/s-0038-1676982","article-title":"Transorbital approach for improved access in the management of paranasal sinus mucoceles","volume":"80","author":"C Miller","year":"2019","journal-title":"J Neurol Surg B Skull Base"},{"issue":"08","key":"ref2","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1002\/lary.29161","article-title":"Transorbital endoscopic approach for repair of frontal sinus cerebrospinal fluid leaks: case-series","volume":"131","author":"R Noiphithak","year":"2021","journal-title":"Laryngoscope"},{"key":"ref3","first-page":"ons16","article-title":"Transorbital neuroendoscopic surgery","volume":"67","author":"K S Moe","year":"2010","journal-title":"Neurosurgery"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1002\/alr.21738","article-title":"The International Frontal Sinus Anatomy Classification (IFAC) and classification of the extent of endoscopic frontal sinus surgery (EFSS)","volume":"6","author":"P J Wormald","year":"2016","journal-title":"Int Forum Allergy Rhinol"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"2857","DOI":"10.1007\/s10143-020-01470-5","article-title":"Transorbital endoscopic approaches to the skull base: a systematic literature review and anatomical description","volume":"44","author":"A Vural","year":"2021","journal-title":"Neurosurg Rev"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1177\/0194599810397285","article-title":"Applications and outcomes of orbital and transorbital endoscopic surgery","volume":"144","author":"K Balakrishnan","year":"2011","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"42","DOI":"10.17116\/neiro20198303142","article-title":"Biopsy and resection of skull base tumors using transorbital endoscopic approaches: primary results","volume":"83","author":"D A Golbin","year":"2019","journal-title":"Vopr Neirokhir"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"e1491","DOI":"10.1016\/j.wneu.2018.11.090","article-title":"Endoscopic endonasal versus transorbital surgery for middle cranial fossa tumors: comparison of clinical outcomes based on surgical corridors","volume":"122","author":"M H Lee","year":"2019","journal-title":"World Neurosurg"},{"issue":"01","key":"ref9","first-page":"40","article-title":"Update on management of frontal sinus osteomas","volume":"20","author":"A Rokade","year":"2012","journal-title":"Curr Opin Otolaryngol Head Neck Surg"}],"container-title":["Journal of Neurological Surgery Part B: Skull Base"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2441-0903.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T22:31:21Z","timestamp":1761345081000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2441-0903"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,14]]},"references-count":9,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2025,10,24]]},"published-print":{"date-parts":[[2025,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2441-0903","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6331","2193-634X"],"issn-type":[{"type":"print","value":"2193-6331"},{"type":"electronic","value":"2193-634X"}],"subject":[],"published-other":{"date-parts":[[2024,10,14]]},"published":{"date-parts":[[2024,10,14]]}}}