{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:25:56Z","timestamp":1793381156809,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Anatomy"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Traditional anatomical investigation has largely relied on progressive separation of tissues into discrete anatomical entities. Although this approach has been fundamental to modern anatomy, tissue separation may disrupt structural relationships and influence the interpretation of anatomical structures, variations, and boundaries, particularly in anatomically complex regions. We propose Continuity\u2010Preserving Oral and Maxillofacial Anatomy (C\u2010POMA), a methodological framework that prioritizes preservation of structural relationships across gross anatomical dissection, histological analysis, and three\u2010dimensional imaging. Structural continuity is defined here as a demonstrable anatomical relationship across conventionally defined boundaries, including direct tissue continuity, gradual tissue transition, shared attachment, or blending through connective tissue interfaces. The novelty of this framework lies in integrating established and emerging methods into a continuity\u2010prioritizing investigative approach. These methods include bidirectional flip\u2010flap dissection, inside\u2010out dissection, magnification\u2010assisted observation, large\u2010block histology, serial histological tracking, multiplanar analysis, and three\u2010dimensional imaging. Representative applications in the perinasal\u2013perioral region, mentalis\u2013incisivus labii inferioris complex, buccal region, and temporomandibular joint illustrate how preservation of structural relationships may influence anatomical interpretation. Continuity\u2010preserving approaches are themselves subject to methodological and observational biases and should therefore be integrated with complementary anatomical methods. By focusing on continuity and minimizing fragmentation, this framework may facilitate reinterpretation of complex anatomical systems and provide new opportunities for anatomical investigation in the era of high\u2010resolution imaging.<\/jats:p>","DOI":"10.1002\/ca.70231","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T11:37:10Z","timestamp":1791545830000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Continuity\u2010Preserving Oral and Maxillofacial Anatomy (C\u2010\n                    <scp>POMA<\/scp>\n                    )"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8502-7952","authenticated-orcid":false,"given":"Joe","family":"Iwanaga","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Tulane University School of Medicine  New Orleans Louisiana USA"},{"name":"Department of Neurology Tulane University School of Medicine  New Orleans Louisiana USA"},{"name":"Department of Structural &amp; Cellular Biology Tulane University School of Medicine  New Orleans Louisiana USA"},{"name":"Department of Neurosurgery and Ochsner Neuroscience Institute Ochsner Health System  New Orleans Louisiana USA"},{"name":"Division of Gross and Clinical Anatomy, Department of Anatomy Kurume University School of Medicine  Kurume Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Shane","family":"Tubbs","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Tulane University School of Medicine  New Orleans Louisiana USA"},{"name":"Department of Neurology Tulane University School of Medicine  New Orleans Louisiana USA"},{"name":"Department of Structural &amp; Cellular Biology Tulane University School of Medicine  New Orleans Louisiana USA"},{"name":"Department of Neurosurgery and Ochsner Neuroscience Institute Ochsner Health System  New Orleans Louisiana USA"},{"name":"Department of Anatomical Sciences St. George's University  St. George's Grenada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ar.1090700102"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2009.00906.x"},{"key":"e_1_2_8_4_1","volume-title":"Terminologia Anatomica","author":"FIPAT","year":"2019"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2026.06.003"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010023\u201010645\u20103"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2025.04.1142"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2024.152268"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2026.03.006"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2017.08.005"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010018\u201031334\u20104"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.21115"},{"key":"e_1_2_8_13_1","article-title":"Familiar Anatomy Is Not Always Finished Anatomy: Rethinking Anatomical Assumptions in Oral and Maxillofacial Surgery","author":"Iwanaga J.","year":"2026","journal-title":"Journal of Oral and Maxillofacial Surgery"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2024.152297"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.70140"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000002993"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.24289"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.24156"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2026.02.035"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20102575\u20104816"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.70203"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.1689"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2026.08.023"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276\u2010026\u201003908\u20109"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/jeo2.70530"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000006558"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.8070"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000010507"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000010556"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.ST.22.00037"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010023\u201038994\u2010x"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276\u2010023\u201003154\u20103"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40729\u2010025\u201000663\u20101"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.36214"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.70231","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ca.70231","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.70231","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T11:37:11Z","timestamp":1791545831000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.70231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,9]]},"references-count":33,"alternative-id":["10.1002\/ca.70231"],"URL":"https:\/\/doi.org\/10.1002\/ca.70231","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"value":"0897-3806","type":"print"},{"value":"1098-2353","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,9]]},"assertion":[{"value":"2026-08-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ca.70231"}}