{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:56:03Z","timestamp":1782863763314,"version":"3.54.5"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:p>Endoscopic and open microsurgical approaches for pediatric patients are useful for a wide variety of skull base pathologies. A hybrid, cranioendoscopic approach may be beneficial in improving surgical resection for complex lesions. A case of a 13-year-old boy with a large juvenile nasopharyngeal angiofibroma extending through the nasopharynx and pterygopalatine fossa into the maxillary, sphenoid, and cavernous sinuses is demonstrated via an endoscopic, transnasal and frontotemporal, extended middle cranial fossa microsurgical approach. Management of a large pediatric tumor via narrow nasal passages, safe surgical resection around critical neurovascular structures, and complication avoidance is demonstrated.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/youtu.be\/1WqvsOnQCxs\">https:\/\/youtu.be\/1WqvsOnQCxs<\/jats:ext-link>\n                    .\n                  <\/jats:p>","DOI":"10.3171\/2020.4.focusvid.19923","type":"journal-article","created":{"date-parts":[[2020,4,25]],"date-time":"2020-04-25T22:01:18Z","timestamp":1587852078000},"page":"V17","source":"Crossref","is-referenced-by-count":1,"title":["Resection of a juvenile nasopharyngeal angiofibroma via a hybrid cranioendoscopic approach"],"prefix":"10.3171","volume":"2","author":[{"given":"Evan","family":"Joyce","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Karsy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge","family":"Makarenko","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeramiah","family":"Alt","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, University of Utah, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Orlandi","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, University of Utah, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William T.","family":"Couldwell","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"S22","DOI":"10.1016\/j.wneu.2014.07.021","article-title":"Endoscopic endonasal surgery for malignancies of the anterior cranial base","volume":"82","author":"Castelnuovo P","year":"2014","unstructured":"Castelnuovo P, Battaglia P, Turri-Zanoni M, Tomei G, Locatelli D, Bignami M, : Endoscopic endonasal surgery for malignancies of the anterior cranial base. 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