{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:29:38Z","timestamp":1730870978900,"version":"3.28.0"},"reference-count":24,"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":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003This study aimed to objectively compare maneuverability at the contralateral medial orbit when approached through the traditional endoscopic endonasal approach (EEA) and EEA with transeptal window (TW).<\/jats:p><jats:p>\n          Study Design\u2003Anatomic dissections were performed bilaterally on three latex-injected cadaveric heads.\u202f Approaches were performed sequentially; initially, an EEA was fashioned. Binostril access was achieved through a 2-cm posterior septectomy. The second stage pertained to the TW dissection. Area of exposure (AoE), surgical freedom (SF), and angles of attack (AoA) were measured along the contralateral medial orbital wall and compared for each approach. Additionally, the study presents an illustrative case describing the application of the EEA\u2009+\u2009TW for resection of an intraorbital schwannoma.<\/jats:p><jats:p>\n          Results\u2003Compared with EEA, EEA\u2009+\u2009TW yielded a significantly greater AoE along the contralateral medial orbital wall (39.45 vs. 48.45\u2009cm2, respectively; p\u2009=\u20090.002). SF was statistically different between the EEA and EEA\u2009+\u2009TW (1153.25 vs. 2256.33\u2009cm2, respectively; p\u2009=\u20090.002). AoA in the horizontal plane were significantly broader with the EEA\u2009+\u2009TW (6.36 vs. 4.9\u2009degrees by EEA; p\u2009=\u20090.015).<\/jats:p><jats:p>A 50-year-old male with a right medial extraconal orbital tumor was successfully treated through an EEA using the transeptal corridor to access the medial orbital region. No long-term complications were encountered after 31 months of follow-up.<\/jats:p><jats:p>\n          Conclusion\u2003EEA\u2009+\u2009TW is a minimally invasive technique that maximizes exposure and maneuverability within the medial orbital wall, allowing resection of lesions that extend anteriorly. EEA\u2009+\u2009TW limits disruption of the nasal septum and overcomes the obstacle that intranasal anatomy represents for instrumentation.<\/jats:p>","DOI":"10.1055\/s-0043-1775755","type":"journal-article","created":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T23:11:10Z","timestamp":1695856270000},"page":"666-672","source":"Crossref","is-referenced-by-count":0,"title":["The Role of the Transeptal Window in Endoscopic Endonasal Access to the Contralateral Orbit"],"prefix":"10.1055","volume":"85","author":[{"given":"Juan M.","family":"Revuelta-Barbero","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Emory University, Atlanta, Georgia, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandra","family":"Rodas","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Emory University, Atlanta, Georgia, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edoardo","family":"Porto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Emory University, Atlanta, Georgia, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackson R.","family":"Vuncannon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Emory University, Atlanta, Georgia, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youssef M.","family":"Zohdy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Emory University, Atlanta, Georgia, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Maldonado","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Emory University, Atlanta, Georgia, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. 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