{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:41:47Z","timestamp":1792806107014,"version":"4.5.0"},"reference-count":28,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The anteromedial triangle (AMT) is the triangle formed by the ophthalmic (V1) and maxillary (V2) nerves. Opening of this bony space offers a limited access to the sphenoid sinus (SphS). This study aims to demonstrate the utility of the orbitopterygopalatine corridor (OPC), obtained by enlarging the AMT and transposing the contents of the pterygopalatine fossa (PPF) and V2, as an entrance to the SphS, maxillary sinus (MaxS), and nasal cavity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Five formalin-injected cadaveric specimens were used for this study (10 approaches). A classic pterional approach was performed. An OPC was created through the inferior orbital fissure, between the orbit and the PPF, by transposing the PPF inferiorly. The extent of the OPC was measured using neuronavigation and manual measurements. Two illustrative cases using the OPC to access skull base tumors are presented in the body of the article.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Via the OPC, the SphS, MaxS, ethmoid sinus (EthS), and nasal cavity could be accessed. The use of endoscopic assistance through the OPC achieved better visualization of the EthS, SphS, MaxS, clivus, and nasal cavity. A significant gain in the area of exposure could be achieved using the OPC compared to the AMT (22.4 mm\n                      <jats:sup>2<\/jats:sup>\n                      vs 504.1 mm\n                      <jats:sup>2<\/jats:sup>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Opening of the AMT and transposition of V2 and the contents of the PPF creates the OPC, a potentially useful deep keyhole to access the paranasal sinuses and clival region through a middle fossa approach. It is a valuable alternative approach to reach deep-seated skull base lesions infiltrating the cavernous sinus and middle cranial fossa and extending into the paranasal sinus.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2020.3.jns2022","type":"journal-article","created":{"date-parts":[[2020,6,19]],"date-time":"2020-06-19T03:39:41Z","timestamp":1592537981000},"page":"1480-1489","source":"Crossref","is-referenced-by-count":10,"title":["The orbitopterygoid corridor as a deep keyhole for endoscopic access to the paranasal sinuses and clivus"],"prefix":"10.3171","volume":"134","author":[{"given":"Kenichi","family":"Oyama","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Lariboisi\u00e8re Hospital, University of Paris Diderot, Paris, France, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lariboisi\u00e8re Hospital, University of Paris Diderot, Paris, France, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunya","family":"Hanakita","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lariboisi\u00e8re Hospital, University of Paris Diderot, Paris, France, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre-Olivier","family":"Champagne","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lariboisi\u00e8re Hospital, University of Paris Diderot, Paris, France, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thibault","family":"Passeri","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lariboisi\u00e8re Hospital, University of Paris Diderot, Paris, France, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduard H.","family":"Voormolen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lariboisi\u00e8re Hospital, University of Paris Diderot, Paris, France, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Laure","family":"Bernat","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lariboisi\u00e8re Hospital, University of Paris Diderot, Paris, France, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Penet","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lariboisi\u00e8re Hospital, University of Paris Diderot, Paris, France, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takanori","family":"Fukushima","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9bastien","family":"Froelich","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lariboisi\u00e8re Hospital, University of Paris Diderot, Paris, France, and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"131","DOI":"10.3171\/jns.1979.50.2.0131","article-title":"Treatment of carotid-cavernous fistulas by cavernous sinus occlusion","volume":"50","author":"Mullan\n \nS.","year":"1979","unstructured":"Mullan\n \nS.\n\n\n \nTreatment of carotid-cavernous fistulas by cavernous sinus occlusion\n. \nJ Neurosurg\n. \n1979\n;\n50\n(\n2\n):\n131\n\u2013\n144\n.\n10.3171\/jns.1979.50.2.0131430123"},{"issue":"4","key":"b2","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"S375","DOI":"10.1097\/00006123-200210001-00010","article-title":"The cavernous sinus, the cavernous venous plexus, and the carotid collar","volume":"51","author":"Rhoton\n \nAL\n \nJr.","year":"2002","unstructured":"Rhoton\n \nAL\n \nJr.\n\n\n \nThe cavernous sinus, the cavernous venous plexus, and the carotid collar\n. \nNeurosurgery\n. \n2002\n;\n51\n(\n4\n)(\nsuppl\n):\nS375\n\u2013\nS410\n.\n1223445410.1097\/00006123-200210001-00010"},{"issue":"6","key":"b3","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"879","DOI":"10.3171\/jns.1986.64.6.0879","article-title":"Operative management of tumors involving the cavernous sinus","volume":"64","author":"Sekhar\n \nLN","year":"1986","unstructured":"Sekhar\n \nLN\n\n, \n\nM\u00f8ller\n \nAR\n\n\n. \nOperative management of tumors involving the cavernous sinus\n. \nJ Neurosurg\n. \n1986\n;\n64\n(\n6\n):\n879\n\u2013\n889\n.\n10.3171\/jns.1986.64.6.08793701438"},{"issue":"2","key":"b4","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"446","DOI":"10.3171\/JNS-07\/08\/0446","article-title":"A novel treatment approach to cholesterol granulomas. 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The pedicled temporoparietal fascia flap for skull base reconstruction after endonasal endoscopic approaches\n. \nActa Neurochir (Wien)\n. \n2016\n;\n158\n(\n12\n):\n2291\n\u2013\n2294\n.\n10.1007\/s00701-016-2969-z"},{"issue":"1","key":"b28","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1227\/01.NEU.0000068841.17293.BB","article-title":"Role of the zygomaticofacial foramen in the orbitozygomatic craniotomy: anatomic report","volume":"53","author":"Martins\n \nC","year":"2003","unstructured":"Martins\n \nC\n\n, \n\nLi\n \nX\n\n, \n\nRhoton\n \nAL\n \nJr\n\n\n. \nRole of the zygomaticofacial foramen in the orbitozygomatic craniotomy: anatomic report\n. \nNeurosurgery\n. \n2003\n;\n53\n(\n1\n):\n168\n\u2013\n173\n.\n1282388610.1227\/01.NEU.0000068841.17293.BB"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/134\/5\/article-p1480.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/134\/5\/article-p1480.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/134\/5\/article-p1480.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:50:49Z","timestamp":1792803049000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/134\/5\/article-p1480.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":28,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2020.3.jns2022","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}