{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T09:50:10Z","timestamp":1791625810607,"version":"4.3.4"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"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":["Head &amp;amp; Neck"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Complete resection of the styloid process at its skull\u2010base origin is challenging in recurrent Eagle syndrome because of postoperative fibrosis, distorted anatomy, and proximity to the internal carotid artery (\n                      <jats:styled-content style=\"fixed-case\">ICA<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Bilateral dissections of two silicone\u2010injected cadaveric heads defined a pure endoscopic transoral trans\u2010medial pterygomandibular corridor to the styloid base. The technique was applied in a patient with recurrent Eagle syndrome after previous transoral styloid shortening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Cadaveric dissections demonstrated a reproducible route to the styloid base through the parapharyngeal space using the medial pterygoid muscle, styloid musculature, and carotid sheath as key anatomical landmarks. Navigation guidance and Doppler localization of the\n                      <jats:styled-content style=\"fixed-case\">ICA<\/jats:styled-content>\n                      facilitated complete styloid base resection in the clinical case. Postoperative imaging confirmed complete removal, with sustained symptom resolution and no complications at 9\u2009months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Navigation\u2010assisted pure endoscopic transoral styloidectomy provides a reproducible and minimally invasive approach for complete styloid base resection in recurrent Eagle syndrome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70453","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T01:41:06Z","timestamp":1787881266000},"page":"3214-3221","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Navigation\u2010Assisted Pure Endoscopic Transoral Styloidectomy for Recurrent Eagle Syndrome: A Pictorial Essay"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2199-5843","authenticated-orcid":false,"given":"Ziyi","family":"Wang","sequence":"first","affiliation":[{"name":"Chinese Academy of Medical Sciences &amp; Peking Union Medical College  Beijing China"},{"name":"Department of Otorhinolaryngology Head and Neck Surgery China\u2010Japan Friendship Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianhui","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery China\u2010Japan Friendship Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0325-9360","authenticated-orcid":false,"given":"Yibei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery China\u2010Japan Friendship Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery China\u2010Japan Friendship Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4071-6719","authenticated-orcid":false,"given":"Jianfeng","family":"Liu","sequence":"additional","affiliation":[{"name":"Chinese Academy of Medical Sciences &amp; Peking Union Medical College  Beijing China"},{"name":"Department of Otorhinolaryngology Head and Neck Surgery China\u2010Japan Friendship Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1937.00650010656008"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2017.04.021"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20804"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.17423"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(86)90253-7"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198508000-00018"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746-160X-8-21"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21488"},{"key":"e_1_2_13_10_1","first-page":"575","article-title":"Application of Surgical Navigation in Styloidectomy for Treating Eagle's Syndrome","volume":"12","author":"Dou G.","year":"2016","journal-title":"Therapeutics and Clinical Risk Management"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2007.10.012"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.32216"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jormas.2017.06.017"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2021.02.013"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-008-0686-9"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2015.03.021"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.70170"}],"container-title":["Head &amp; 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