{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T02:49:24Z","timestamp":1772678964044,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T00:00:00Z","timestamp":1602115200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this anatomical study is to make quantitative comparison among three endoscopic approaches, encompassing contralateral endonasal transseptal transmaxillary transpterygoid approach (contralateral EEA), endoscopic sublabial transmaxillary transalisphenoid (Caldwell\u2010Luc) approach and endoscopic transorbital transmaxillary approach through inferior orbital fissure (ETOA), to the anterolateral skull base for assisting preoperative planning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design &amp; Participants<\/jats:title><jats:p>Anatomical dissections were performed in four adult cadaveric heads bilaterally using three endoscopic transmaxillary approaches described above.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Skull Base Laboratory at the National Defense Medical Center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The area of exposure, angles of attack and depth of surgical corridor of each approach were measured and obtained for statistical comparison.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The ETOA had significantly larger exposure over middle cranial fossa (731.40\u00a0\u00b1\u00a080.08\u00a0mm<jats:sup>2<\/jats:sup>) than contralateral EEA (266.60\u00a0\u00b1\u00a046.74\u00a0mm<jats:sup>2<\/jats:sup>) and Caldwell\u2010Luc approach (468.40\u00a0\u00b1\u00a059.67\u00a0mm<jats:sup>2<\/jats:sup>). In comparison with contralateral EEA and Caldwell\u2010Luc approach, the ETOA offered significantly greater angles of attack and shorter depth of surgical corridor (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.05 for all comparisons).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The ETOA is the superior choice for target lesion occupying multiple compartments with its epicentre located in the middle cranial fossa or superior portion of infratemporal fossa.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13559","type":"journal-article","created":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T12:54:42Z","timestamp":1588164882000},"page":"123-130","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Quantitative comparison of endoscopically assisted endonasal, sublabial and transorbital transmaxillary approaches to the anterolateral skull base"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4862-6697","authenticated-orcid":false,"given":"Bon\u2010Jour","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital National Defense Medical Center Taipei Taiwan"},{"name":"Department of Surgery Nantou Hospital Nantou Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Da\u2010Tong","family":"Ju","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital National Defense Medical Center Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tzu\u2010Hsien","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital National Defense Medical Center Taipei Taiwan"},{"name":"Department of Surgery Taichung Armed Forces General Hospital Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi\u2010An","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital National Defense Medical Center Taipei Taiwan"},{"name":"Department of Surgery Taichung Armed Forces General Hospital Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tzu\u2010Tsao","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital National Defense Medical Center Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei\u2010Hsiu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital National Defense Medical Center Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dueng\u2010Yuan","family":"Hueng","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital National Defense Medical Center Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan\u2010Hao","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital National Defense Medical Center Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chung\u2010Ching","family":"Hsia","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital National Defense Medical Center Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsin\u2010I","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital 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