{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T05:19:20Z","timestamp":1787635160146,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"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":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Surgical resection of maxillofacial tumors requires balancing radical resection with functional and esthetic preservation. Endoscopic\u2010assisted and transoral techniques offer minimally invasive alternatives, but each has limitations. This retrospective study evaluates the endoscopic\u2010assisted transoral approach (EATA) for maxillofacial tumor resection, analyzing its technical characteristics, perioperative outcomes, and safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent tumor resection via EATA at West China Hospital of Stomatology, Sichuan University, between April 2024 and September 2025 were included. They were stratified by tumor anatomical location and pathology. Clinical characteristics, tumor features, operative parameters, postoperative complications, and follow\u2010up findings were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 32 patients with a median age of 42.5\u2009years (range, 8\u201374\u2009years) were included. Tumor distribution was as follows: accessory parotid gland (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915), zygomatic\/buccal region (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099), mandibular functional area (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093), infratemporal fossa (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093), and parapharyngeal space (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092). The median operative time was 50\u2009min (range, 14\u2013304\u2009min), and the median intraoperative blood loss was 10\u2009mL (range, 5\u2013150\u2009mL). Among cases completed via EATA without conversion, no visible external scars were produced, and endoscopic magnification facilitated identification and preservation of critical neurovascular structures. One case with an intraoperative frozen\u2010section diagnosis of mucoepidermoid carcinoma was converted to conventional parotidectomy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>EATA appears to be a feasible minimally invasive option for carefully selected maxillofacial tumors in deep or esthetically sensitive anatomical regions. Its application requires strict patient selection, anatomical risk control, and adherence to oncologic principles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70849","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T04:39:38Z","timestamp":1787632778000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic Assisted Transoral Approach for Maxillofacial Tumor Resection\u2014A Retrospective Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6187-917X","authenticated-orcid":false,"given":"Shuai","family":"Chen","sequence":"first","affiliation":[{"name":"State Key Laboratory of Oral Diseases &amp; National Center for Stomatology &amp; National Clinical Research Center for Oral Diseases &amp; Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guanru","family":"Wang","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Oral Diseases &amp; National Center for Stomatology &amp; National Clinical Research Center for Oral Diseases &amp; Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heyi","family":"Tang","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Oral Diseases &amp; National Center for Stomatology &amp; National Clinical Research Center for Oral Diseases &amp; Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenxi","family":"Yu","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Oral Diseases &amp; National Center for Stomatology &amp; National Clinical Research Center for Oral Diseases &amp; Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zifan","family":"Lin","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Oral Diseases &amp; National Center for Stomatology &amp; National Clinical Research Center for Oral Diseases &amp; Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunjie","family":"Li","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Oral Diseases &amp; National Center for Stomatology &amp; National Clinical Research Center for Oral Diseases &amp; Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Yan","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Oral Diseases &amp; National Center for Stomatology &amp; National Clinical Research Center for Oral Diseases &amp; Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.13267\/j.cnki.syzlzz.2007.06.025"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/1119\u20103077.187309"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25439"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2014.02.007"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41368\u2010019\u20100059\u20109"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2020.08.103"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.coms.2020.12.002"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102610"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.21037\/gs\u201024\u2010294"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2024.107164"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30140"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2022.103784"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0b013e3180338477"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2022.02.004"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18310"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(79)90422\u20107"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256\u2010022\u201003471\u2010y"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2022.09.003"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.3791\/68672"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2014.10.022"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24092"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23592"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28190"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2013.06.003"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2024.04.019"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2008.11.011"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.5125\/jkaoms.2022.48.2.111"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23984"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.34945"},{"key":"e_1_2_10_31_1","doi-asserted-by":"crossref","first-page":"217847","DOI":"10.1016\/j.canlet.2025.217847","article-title":"Tumor\u2010Associated Schwann Cells Promote Salivary Adenoid Cystic Carcinoma Stem\u2010Like Reprogramming via IGF2\/IGF1R Induced Histone H3 Lysine 18 Lactylation","volume":"628","author":"Chen S.","year":"2025","journal-title":"Cancer Letters"},{"issue":"7","key":"e_1_2_10_32_1","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1038\/s41416-025-02946-1","article-title":"Apolipoprotein D Is Crucial for Promoting Perineural Invasion in Salivary Adenoid Cystic Carcinoma","volume":"132","author":"Huang G.","year":"2025","journal-title":"British Journal of Cancer"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.7518\/hxkq.2024.2023393"},{"issue":"1","key":"e_1_2_10_34_1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1038\/s41368-024-00318-8","article-title":"Evaluation of a Newly Developed Oral and Maxillofacial Surgical Robotic Platform (KD\u2010SR\u201001) in Head and Neck Surgery: A Preclinical Trial in Porcine Models","volume":"16","author":"Ma Z.","year":"2024","journal-title":"International Journal of Oral Science"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70849","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70849","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70849","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T04:39:45Z","timestamp":1787632785000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70849"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,24]]},"references-count":33,"alternative-id":["10.1002\/lary.70849"],"URL":"https:\/\/doi.org\/10.1002\/lary.70849","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,24]]},"assertion":[{"value":"2026-04-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"lary.70849"}}