{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:02:03Z","timestamp":1782864123790,"version":"3.54.5"},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"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":[[2025,4]]},"abstract":"<jats:p>The transorbital craniotomy represents a minimally invasive approach to the mesial structures of the middle fossa. This video depicts the approach to the lateral sphenoid recess in a patient with CSF rhinorrhea secondary to a lateral sphenoid encephalocele. The transorbital approach represents a unique advantage to repairing the lateral sphenoid sinus in comparison to the endoscopic endonasal approach, which requires traversing, and often transecting, the vidian nerve. Following identification of the skull base defect, repair is performed as an underlay with an abdominal fat graft. Following surgery, the patient had no recurrent rhinorrhea.<\/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:\/\/stream.cadmore.media\/r10.3171\/2025.1.FOCVID24207\">https:\/\/stream.cadmore.media\/r10.3171\/2025.1.FOCVID24207<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2025.1.focvid24207","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T07:53:26Z","timestamp":1743494006000},"page":"V8","source":"Crossref","is-referenced-by-count":1,"title":["Transorbital endoscopic approach for repair of a lateral sphenoid sinus cerebrospinal fluid leak"],"prefix":"10.3171","volume":"12","author":[{"given":"Nader","family":"Delavari","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, NewYork-Presbyterian Weill Cornell, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse D.","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NewYork-Presbyterian Weill Cornell, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Tangsrivimol","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattia","family":"Testa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Verona, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle J.","family":"Godfrey","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, NewYork-Presbyterian Weill Cornell, New York, New York; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore H.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Scarsdale, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"Oper Neurosurg (Hagerstown)","first-page":"e267","article-title":"Endoscopic transorbital approach to the middle fossa: qualitative and quantitative anatomic study","volume":"23","author":"Guizzardi G","year":"2022","unstructured":"Guizzardi G, Mosteiro A, Hoyos J,  Endoscopic transorbital approach to the middle fossa: qualitative and quantitative anatomic study. Oper Neurosurg (Hagerstown). 2022;23(4):e267\u2013e275."},{"issue":"3","key":"b2","series-title":"J Neurosurg","first-page":"705","article-title":"Endoscopic endonasal repair of encephaloceles of the lateral sphenoid sinus: multiinstitution confirmation of a new classification","volume":"140","author":"Tosi U","year":"2023","unstructured":"Tosi U, Jackson C, D\u2019Souza G,  Endoscopic endonasal repair of encephaloceles of the lateral sphenoid sinus: multiinstitution confirmation of a new classification. J Neurosurg. 2023;140(3):705\u2013711."},{"issue":"2","key":"b3","series-title":"Oper Neurosurg (Hagerstown)","first-page":"168","article-title":"Lateral transorbital approach for repair of lateral sphenoid sinus meningoencephaloceles in proximity to foramen rotundum: cadaveric study and case report","volume":"25","author":"Mathios D","year":"2023","unstructured":"Mathios D, Bobeff EJ, Longo D,  Lateral transorbital approach for repair of lateral sphenoid sinus meningoencephaloceles in proximity to foramen rotundum: cadaveric study and case report. Oper Neurosurg (Hagerstown). 2023;25(2):168\u2013175."},{"issue":"4","key":"b4","series-title":"Am J Rhinol Allergy","first-page":"310","article-title":"Use of autologous fat grafts for the endoscopic reconstruction of skull base defects: indications, outcomes, and complications","volume":"32","author":"Lam K","year":"2018","unstructured":"Lam K, Luong AU, Yao WC, Citardi MJ. Use of autologous fat grafts for the endoscopic reconstruction of skull base defects: indications, outcomes, and complications. Am J Rhinol Allergy. 2018;32(4):310-317."},{"issue":"8","key":"b5","series-title":"Laryngoscope","first-page":"1475","article-title":"Transnasal endoscopic repair of cerebrospinal fluid rhinorrhea and skull base defect: ten-year experience","volume":"114","author":"Lee TJ","year":"2004","unstructured":"Lee TJ, Huang CC, Chuang CC, Huang SF. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhea and skull base defect: ten-year experience. Laryngoscope. 2004;114(8):1475\u20131481."},{"issue":"4","key":"b1","series-title":"Oper Neurosurg (Hagerstown)","first-page":"e267","article-title":"Endoscopic transorbital approach to the middle fossa: qualitative and quantitative anatomic study","volume":"23","author":"Guizzardi G","year":"2022","unstructured":"Guizzardi G, Mosteiro A, Hoyos J,  Endoscopic transorbital approach to the middle fossa: qualitative and quantitative anatomic study. Oper Neurosurg (Hagerstown). 2022;23(4):e267\u2013e275."},{"issue":"3","key":"b2","series-title":"J Neurosurg","first-page":"705","article-title":"Endoscopic endonasal repair of encephaloceles of the lateral sphenoid sinus: multiinstitution confirmation of a new classification","volume":"140","author":"Tosi U","year":"2023","unstructured":"Tosi U, Jackson C, D\u2019Souza G,  Endoscopic endonasal repair of encephaloceles of the lateral sphenoid sinus: multiinstitution confirmation of a new classification. 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Use of autologous fat grafts for the endoscopic reconstruction of skull base defects: indications, outcomes, and complications. Am J Rhinol Allergy. 2018;32(4):310-317."},{"issue":"8","key":"b5","series-title":"Laryngoscope","first-page":"1475","article-title":"Transnasal endoscopic repair of cerebrospinal fluid rhinorrhea and skull base defect: ten-year experience","volume":"114","author":"Lee TJ","year":"2004","unstructured":"Lee TJ, Huang CC, Chuang CC, Huang SF. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhea and skull base defect: ten-year experience. 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