{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T20:00:31Z","timestamp":1772913631765,"version":"3.50.1"},"reference-count":36,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:sec>\n<jats:title>Object<\/jats:title>\n<jats:p>In this study, the authors evaluated the efficacy and safety of modified orbitozygomatic craniotomy for resection of craniopharyngioma in children.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>A prospective, institutional review board\u2013approved database was retrospectively reviewed for pediatric patients undergoing craniopharyngioma resection performed by a single surgeon.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Ten patients underwent craniopharyngioma resection surgery between July 2000 and January 2006 (4 girls and 6 boys, ages 1.5\u201317 years). Nine patients presented to the authors' institution, and 1 patient was referred after surgery and radiation therapy were administered elsewhere. Nine patients presented with visual field deficits (2 with unilateral or bilateral light perception only) and 5 with endocrine dysfunction. Eight patients had large tumors that significantly displaced the optic chiasm and hypothalamus. All patients underwent a modified frontotemporal orbitozygomatic osteotomy in a single piece. The lamina terminalis was opened in 4 patients with third ventricular extension. One patient required a staged transsphenoidal operation to remove residual tumor in the sella turcica, and 1 patient underwent a contralateral subtemporal approach to resect a daughter lesion in the prepontine cistern. Complete radiographic resection was achieved in all patients. Follow-up averaged 55 months (range 12\u201395 months). Vision was improved in 8 patients and remained stable in 2. All patients had postoperative endocrine dysfunction. One patient experienced transient cranial nerve IV palsy and 1 suffered a small caudate stroke 5 months after surgery without sequelae. Two patients experienced polyphagia and weight gain without other symptoms of hypothalamic dysfunction. There were no other new neurological deficits.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Modified orbitozygomatic craniotomy provides excellent exposure of the suprasellar region with minimal brain retraction, allowing complete resection of craniopharyngiomas with good visual and neurological results.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2009.5.peds09106","type":"journal-article","created":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T16:05:27Z","timestamp":1254413127000},"page":"345-352","source":"Crossref","is-referenced-by-count":29,"title":["Modified orbitozygomatic craniotomy for craniopharyngioma resection in children"],"prefix":"10.3171","volume":"4","author":[{"given":"Kiarash J.","family":"Golshani","sequence":"first","affiliation":[{"name":"Departments of Neurological Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirk","family":"Lalwani","sequence":"additional","affiliation":[{"name":"Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johnny B.","family":"Delashaw","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan R.","family":"Selden","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0040345","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1007\/s00381-005-1185-6","article-title":"Individualized treatment of pediatric craniopharyngiomas","volume":"21","author":"Albright","year":"2005"},{"key":"b2-0040345","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"940","DOI":"10.3171\/jns.2005.102.5.0940","article-title":"Modified osteoplastic orbitozygomatic craniotomy. 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