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Record W4409116018 · doi:10.3171/2025.1.focvid24199

Endoscopic transorbital approach for left anterior clinoidectomy, optic canal decompression and spheno-orbital meningioma resection

2025· article· en· W4409116018 on OpenAlexaff
Tristan Brunette‐Clément, Evan Kalin-Hajdu, Pascal Lavergne

Bibliographic record

VenueNeurosurgical Focus Video · 2025
Typearticle
Languageen
FieldMedicine
TopicMeningioma and schwannoma management
Canadian institutionsHôpital Maisonneuve-RosemontUniversité de Montréal
Fundersnot available
KeywordsOptic canalCraniotomyNeurovascular bundleMeningiomaMedicineDecompressionSuperior orbital fissureSphenoid boneCavernous sinusSurgeryMiddle fossaResectionSinus (botany)Skull

Abstract

fetched live from OpenAlex

Endoscopic transorbital approaches have been increasingly used to treat lesions of the middle fossa, such as sphenoid wing meningiomas or cavernous sinus disease, eschewing the cosmetic and functional consequences of a frontotemporal craniotomy, as well as technical shortcomings of endoscopic endonasal approaches. In this video, the authors present a case of a spheno-orbital meningioma for which an endoscopic transorbital approach was used for tumor resection, optic canal decompression, and anterior clinoidectomy. The advantages of this approach are demonstrated, particularly the direct, shorter distance to target along the axis of the middle fossa, which avoids neurovascular structures, brain retraction, and temporal muscle manipulation. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24199.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Bench or experimental · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.471
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.018
GPT teacher head0.289
Teacher spread0.272 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designBench or experimental
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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