{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T12:48:21Z","timestamp":1761396501305},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T00:00:00Z","timestamp":1679875200000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003Trigeminal neuralgia (TN) is a debilitating syndrome characterized by paroxysmal facial pain in one or more divisions of the trigeminal nerve. The etiology and treatment paradigms are still controversial. The endoscopically-assisted procedure has not yet been described in percutaneous procedures for TN. The aim of this study was to assess the utility and feasibility of endoscopic-assisted percutaneous approaches for trigeminal rhizotomy in TN.<\/jats:p><jats:p>\n          Methods\u2003This study comprised eight cadaveric sides heads that underwent an endoscopically assisted percutaneous approach using Hakanson's anterior puncture method for targeting the foramen ovale.<\/jats:p><jats:p>\n          Results\u2003V3 exiting the foramen ovale was easily visualized with the endoscope on all sides. While approaching the foramen ovale, distal branches of V3 such as the lingual and inferior alveolar nerves were first identified as they traveled between the medial and lateral pterygoid muscles. These branches were then traced proximally to the V3 trunk deep to the lateral pterygoid. Large arteries and veins were easily visualized and avoided in the trajectory to the foramen ovale. No gross injury to any neurovascular structure along the course of the needle insertion was identified.<\/jats:p><jats:p>\n          Conclusion\u2003We found that endoscopic-assisted percutaneous approach to the foramen ovale is feasible and allows for accurate canalization and anatomical identification of the precise location for rhizotomy under direct visualization. Such a procedure, after it is confirmed in patients, could offer a new technique for reducing unsuccessful canalization and could improve outcomes.<\/jats:p>","DOI":"10.1055\/s-0043-1761230","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T23:03:26Z","timestamp":1679958206000},"page":"040-044","source":"Crossref","is-referenced-by-count":1,"title":["Endoscopically-Assisted Percutaneous Trigeminal Rhizotomy for Trigeminal Neuralgia: A Cadaveric Feasibility Study"],"prefix":"10.1055","volume":"18","author":[{"given":"Mansour","family":"Mathkour","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, United States"},{"name":"Department of Neurosurgery, Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, Louisiana, United States"},{"name":"Division of Neurosurgery, Department of Surgery, Jazan University School of Medicine, Jazan, Kingdom of Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassidy D.","family":"Werner","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert F.","family":"Dallapiazza","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marios","family":"Loukas","sequence":"additional","affiliation":[{"name":"Department of Anatomical Sciences, St. George's University, St. George's, Grenada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joe","family":"Iwanaga","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, United States"},{"name":"Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron S.","family":"Dumont","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R Shane","family":"Tubbs","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, United States"},{"name":"Department of Neurosurgery, Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, Louisiana, United States"},{"name":"Department of Anatomical Sciences, St. George's University, St. George's, Grenada"},{"name":"Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, United States"},{"name":"Department of Structural and Cellular Biology, Tulane University School of Medicine, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,3,27]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"585","DOI":"10.4103\/ajns.AJNS_67_14","article-title":"Trigeminal Neuralgia","volume":"12","author":"Y R Yadav","year":"2017","journal-title":"Asian J Neurosurg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1136\/pgmj.2009.080473","article-title":"Trigeminal neuralgia: the diagnosis and management of this excruciating and poorly understood facial pain","volume":"87","author":"J M Zakrzewska","year":"2011","journal-title":"Postgrad Med 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