{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:20:45Z","timestamp":1783776045588,"version":"3.55.0"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:p>The complex anatomical relationships within the skull base have been described from an endoscopic point of view. However, systematic surgical, not just anatomical, management of the eustachian tube (ET) and the approach to the styloid and parapharyngeal spaces have not yet been described. The authors describe the full endoscopic endonasal extreme far-medial approach used in their surgical practice and show how they applied it to a case. To the authors' knowledge, from a strictly surgical viewpoint, this work is the first to describe a fundamental endonasal approach to the inferior clivus, the condylar and tubercular compartments, the prestyloid and poststyloid spaces, and ET transposition to expose the aforementioned structures without disrupting the ET. For lesions with mediolateral growth patterns, the authors consider the extreme far-medial approach to be superior to the pure transmaxillary approach. Additional cases and more evidence are needed to refine this surgical technique.<\/jats:p>","DOI":"10.3171\/2013.1.peds12462","type":"journal-article","created":{"date-parts":[[2013,3,8]],"date-time":"2013-03-08T15:04:50Z","timestamp":1362755090000},"page":"584-590","source":"Crossref","is-referenced-by-count":24,"title":["Full endoscopic endonasal extreme far-medial approach: eustachian tube transposition"],"prefix":"10.3171","volume":"11","author":[{"given":"Juan-Antonio","family":"Simal-Juli\u00e1n","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Miranda-Lloret","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres","family":"Beltr\u00e1n-Giner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estela","family":"Plaza-Ramirez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Botella-Asunci\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-peds12462","series-title":"Laryngoscope","doi-asserted-by":"publisher","first-page":"2081","DOI":"10.1002\/lary.22165","article-title":"Endoscopic endonasal transpterygoid nasopharyngectomy","volume":"121","author":"Al-Sheibani","year":"2011"},{"key":"b2-peds12462","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1227\/01.NEU.0000044562.73763.00","article-title":"Endoscopic endonasal approach to the pterygopalatine fossa: anatomic study","volume":"52","author":"Alfieri","year":"2003"},{"key":"b3-peds12462","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"842","DOI":"10.1097\/00006123-199810000-00072","article-title":"Surgical anatomy of the infratemporal fossa: the styloid diaphragm revisited","volume":"43","author":"Bejjani","year":"1998"},{"issue":"3 Suppl Operative","key":"b4-peds12462","series-title":"Neurosurgery","first-page":"ons1","article-title":"Fully endoscopic transnasal approach to the jugular foramen: anatomic study and clinical considerations","volume":"67","author":"Dallan","year":"2010"},{"key":"b5-peds12462","series-title":"Laryngoscope","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1002\/lary.21341","article-title":"Endoscopic endonasal dissection of the infratemporal fossa: anatomic relationships and importance of eustachian tube in the endoscopic skull base surgery","volume":"121","author":"Falcon","year":"2011"},{"key":"b6-peds12462","series-title":"Laryngoscope","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1097\/MLG.0b013e318155a492","article-title":"Endoscopic anatomy of the pterygopalatine fossa and the transpterygoid approach: development of a surgical instruction model","volume":"118","author":"Fortes","year":"2008"},{"key":"b7-peds12462","series-title":"Laryngoscope","doi-asserted-by":"publisher","first-page":"1882","DOI":"10.1097\/01.mlg.0000234933.37779.e4","article-title":"A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap","volume":"116","author":"Hadad","year":"2006"},{"key":"b8-peds12462","series-title":"Ann Otol Rhinol Laryngol","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1177\/000348940211100609","article-title":"Functional anatomy of levator veli palatini muscle and tensor veli palatini muscle in association with eustachian tube cartilage","volume":"111","author":"Ishijima","year":"2002"},{"issue":"1","key":"b9-peds12462","series-title":"Neurosurg Focus","first-page":"E6","article-title":"Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa","volume":"19","author":"Kassam","year":"2005"},{"key":"b10-peds12462","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1544","DOI":"10.3171\/2010.10.JNS09406","article-title":"Endoscopic endonasal skull base surgery: analysis of complications in the authors' initial 800 patients. A review","volume":"114","author":"Kassam","year":"2011"},{"issue":"1 Suppl 1","key":"b11-peds12462","series-title":"Neurosurgery","first-page":"ONS44","article-title":"Endoscopic reconstruction of the cranial base using a pedicled nasoseptal flap","volume":"63","author":"Kassam","year":"2008"},{"key":"b12-peds12462","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"177","DOI":"10.3171\/JNS\/2008\/108\/01\/0177","article-title":"Expanded endonasal approach: vidian canal as a landmark to the petrous internal carotid artery. Technical note","volume":"108","author":"Kassam","year":"2008"},{"key":"b13-peds12462","series-title":"Otolaryngol Clin N Am","doi-asserted-by":"publisher","first-page":"1155","DOI":"10.1016\/j.otc.2011.06.002","article-title":"Skull base chordomas","volume":"44","author":"Koutourousiou","year":"2011"},{"issue":"6 Suppl Operative","key":"b14-peds12462","series-title":"Neurosurgery","first-page":"211","article-title":"\u201cFar-medial\u201d expanded endonasal approach to the inferior third of the clivus: the transcondylar and transjugular tubercle approaches","volume":"66","author":"Morera","year":"2010"},{"issue":"5 Suppl 2","key":"b15-peds12462","series-title":"Neurosurgery","first-page":"385","article-title":"Microsurgical and endoscopic anatomy of the vidian canal","volume":"64","author":"Osawa","year":"2009"},{"key":"b16-peds12462","series-title":"Surg Radiol Anat","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1007\/BF01630616","article-title":"Descriptive anatomy of the human auditory tube","volume":"20","author":"Prades","year":"1998"},{"issue":"2 Suppl Operative","key":"b17-peds12462","series-title":"Neurosurgery","first-page":"478","article-title":"Vidian nerve transposition for endoscopic endonasal middle fossa approaches","volume":"67","author":"Prevedello","year":"2010"},{"issue":"3 Suppl","key":"b18-peds12462","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"S195","DOI":"10.1097\/00006123-200009001-00020","article-title":"The far-lateral approach and its transcondylar, supracondylar, and paracondylar extensions","volume":"47","author":"Rhoton","year":"2000"},{"key":"b19-peds12462","series-title":"Laryngoscope","doi-asserted-by":"publisher","first-page":"1338","DOI":"10.1097\/MLG.0b013e31806146cd","article-title":"Vidian canal: analysis and relationship to the internal carotid artery","volume":"117","author":"Vescan","year":"2007"},{"key":"b20-peds12462","series-title":"Clin Anat","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1002\/ca.20496","article-title":"CT evaluation of the vidian canal localization","volume":"20","author":"Yazar","year":"2007"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/11\/5\/article-p584.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/11\/5\/article-p584.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/11\/5\/article-p584.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T14:22:33Z","timestamp":1681568553000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/11\/5\/article-p584.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2013,5]]},"references-count":20,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2013.1.peds12462","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5]]}}}