{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T16:00:21Z","timestamp":1773158421819,"version":"3.50.1"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B Skull Base"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The endoscopic lateral transorbital approach (eLTOA) has emerged as a minimal access technique for accessing the middle fossa and periorbital region. This study explores the applicability of eLTOA in the management of recurrent and newly diagnosed medial temporal lobe gliomas.<\/jats:p>\n                  <jats:p>Forty patients at our institution underwent eLTOA between 2016 and 2024. There were five surgeries for glioma. Patients were assessed for demographic and clinical data, radiographic characteristics, and histopathological and molecular findings.<\/jats:p>\n                  <jats:p>Four recurrent gliomas required biopsy for diagnosis and molecular genotyping, and one newly diagnosed tumor aimed for gross total resection (GTR). Histologic diagnoses remained unchanged in three recurrent cases (two glioblastoma multiforme and one xanthoastrocytoma). One case was upgraded from oligoastrocytoma Grade II to glioblastoma Grade IV. GTR was achieved in the newly diagnosed tumor, with histology confirming dysembryoplastic neuroepithelial tumor. Average length of stay was 3 days. There was one case of transient diplopia.<\/jats:p>\n                  <jats:p>eLTOA offers a minimally invasive, direct approach to medial temporal lobe gliomas that minimizes the risks of infection and temporalis muscle atrophy associated with reoperation through a previously irradiated incision. It is most useful for restaging recurrent tumors, although GTR can be obtained in well-selected newly diagnosed tumors.<\/jats:p>","DOI":"10.1055\/a-2561-7751","type":"journal-article","created":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T20:25:46Z","timestamp":1742588746000},"page":"200-206","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic Transorbital Approach for Select Recurrent and Newly Diagnosed Anteromedial Temporal Lobe Gliomas"],"prefix":"10.1055","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0142-3569","authenticated-orcid":false,"given":"Jonathan A.","family":"Tangsrivimol","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Chulabhorn Hospital, Bangkok, Thailand"},{"name":"Department of Neurological Surgery, New York-Presbyterian Weill Cornell Medical Center, New York, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nader","family":"Delavari","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, New York-Presbyterian Weill Cornell Medical Center, New York, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyle J.","family":"Godfrey","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, NewYork-Presbyterian Weill Cornell Medical Center, New York, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore H.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"New York, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,9]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.3171\/2022.3.JNS212699","article-title":"Endoscopic transorbital surgery levels of difficulty","volume":"137","author":"A Di Somma","year":"2022","journal-title":"J Neurosurg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.jocn.2015.07.021","article-title":"Transorbital neuroendoscopic surgery for the treatment of skull base lesions","volume":"24","author":"R Ramakrishna","year":"2016","journal-title":"J Clin Neurosci"},{"key":"ref3","first-page":"ons16","article-title":"Transorbital neuroendoscopic surgery","volume":"67","author":"K S Moe","year":"2010","journal-title":"Neurosurgery"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"1948","DOI":"10.3171\/2019.7.JNS191743","article-title":"Endoscopic transorbital approach to the infratemporal fossa and parapharyngeal space: a cadaveric study","volume":"133","author":"M M Gerges","year":"2019","journal-title":"J Neurosurg"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1227\/ons.0000000000000610","article-title":"Modified lateral orbitotomy approach to lesions of the orbital apex, superior orbital fissure, cavernous sinus, and middle cranial fossa","volume":"24","author":"M T Bounajem","year":"2023","journal-title":"Oper Neurosurg (Hagerstown)"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1227\/ons.0000000000000904","article-title":"The endoscopic lateral transorbital approach for the removal of select sphenoid wing and middle fossa meningiomas. surgical technique and short-term outcomes","volume":"26","author":"J A Carnevale","year":"2024","journal-title":"Oper Neurosurg (Hagerstown)"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.wneu.2020.01.115","article-title":"Comparative analysis of endoscopic transorbital approach and extended mini-pterional approach for sphenoid wing meningiomas with osseous involvement: preliminary surgical results","volume":"139","author":"H H Park","year":"2020","journal-title":"World Neurosurg"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"1653","DOI":"10.3171\/2022.9.JNS22779","article-title":"Indications and outcomes of endoscopic transorbital surgery for trigeminal schwannoma based on tumor classification: a multicenter study with 50 cases. 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