{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:04:29Z","timestamp":1787018669317,"version":"build-2736575974"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:p>Oculomotor nerve palsy (ONP) is an extremely-uncommon complication of endoscopic endonasal surgery (EES). To date, there have been only 6 reports of immediate ONP post-EES in the PubMed\/MEDLINE-indexed literature. This report illustrates the clinical presentation of complete, pupil-involving ONP that recovered fully over 6\u2009months after surgery in a 28\u2009year-old man who underwent medial maxillectomy through endoscopic modified Denker\u2019s approach for sinonasal inverted papilloma. An attempt has been made to evaluate the possible etiology for such a complication through a thorough literature review, and following an in-depth introspection of the surgical team. The relevant surgical anatomy and the management aspects are also discussed in detail. This report provides a caveat to the endoscopic endonasal surgeons and the residents regarding ONP as an unexpected and unusual complication of sinus and skull-base surgery. It further underlines the importance of being knowledgeable of the somatic and parasympathetic neural anatomy of the oculomotor nerve in the skull base, and of the finesse and meticulous dissection that are needed for a safe surgery around the confines of the orbit.<\/jats:p>","DOI":"10.1177\/01455613251410566","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T08:28:01Z","timestamp":1767169681000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Total Oculomotor Nerve Palsy With Protracted Recovery Following Endoscopic Medial Maxillectomy: Case Report and Review of the Literature"],"prefix":"10.1177","author":[{"given":"Sweksha","family":"Priya","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Guwahati, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3977-3230","authenticated-orcid":false,"given":"Mainak","family":"Dutta","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Kalyani, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Kalyani, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mousam","family":"Maiti","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henna","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Kalyani, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debangshu","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Kalyani, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahuya","family":"Chattopadhyay","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Kalyani, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Mallick","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Kalyani, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"370","volume-title":"Rhinology: Diseases of the Nose, Sinuses, and Skull Base","author":"Metson RB","unstructured":"Metson RB, Platt MP. Complications of endoscopic sinus surgery: prevention and management. In: Kennedy DW, Hwang PH, eds. Rhinology: Diseases of the Nose, Sinuses, and Skull Base. 1st ed. Thieme Medical Publishers; 2012:370-380.","edition":"1"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21446"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.85.5.598"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-1973-z"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(99)70324-4"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-003-0612-0"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3205\/cto000098"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e3282f0b47e"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(98)80023-5"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1098-7339(99)90016-0"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00041327-200409000-00009"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107001478"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.4103\/0301-4738.194332"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.4103\/jfcm.jfcm_253_23"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.21037\/ajo-23-57"},{"key":"e_1_3_2_17_2","unstructured":"Modi P Arsiwalla T. Cranial Nerve III Palsy. In: StatPearls. StatPearls Publishing; 2025. Updated July 4 2023. Accessed November 2 2025. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526112\/"},{"key":"e_1_3_2_18_2","first-page":"6","volume-title":"Endoscopic Sinus Surgery Anatomy, Three-Dimensional Reconstruction, and Surgical Technique","author":"Wormald PJ","unstructured":"Wormald PJ. The surgical field in endoscopic sinus surgery. In: Wormald PJ, ed. Endoscopic Sinus Surgery Anatomy, Three-Dimensional Reconstruction, and Surgical Technique. 3rd ed. Thieme Medical Publishers; 2013:6-12.","edition":"3"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-022-03061-z"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0762.165930"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251410566","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613251410566","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251410566","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:39:20Z","timestamp":1777401560000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613251410566"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,31]]},"references-count":19,"alternative-id":["10.1177\/01455613251410566"],"URL":"https:\/\/doi.org\/10.1177\/01455613251410566","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,31]]},"article-number":"01455613251410566"}}