{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T14:36:04Z","timestamp":1787322964288,"version":"build-2736575974"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"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":["World j. otorhinolaryngol.-head neck surg."],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>For intraoperative bleeding control in patients with juvenile nasopharyngeal angiofibroma (JNA), we developed a novel surgical strategy system. This system is focused on feeding artery management, based on the spatial relationship between the tumor entity and feeding artery as determined by three\u2010dimensional reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This historical controlled study was conducted at a tertiary medical institution from October 2013 to September 2022. The retrospective group comprised of previous JNA patients received traditional nasoendoscopic sursery. Three\u2010dimensional CT reconstruction based on their preoperative contrast\u2010enhanced CT and CTA was used for segmentation of spatial relationship between dominant feeding artery (DFA) and tumor entity. The prospective group comprised JNA patients undergoing endoscopic\/endoscopic\u2010assisted surgery reinforced DFA management by intraoperative ligation. Efficacy evaluation between two groups focused on intraoperative bleeding, complete resection rate and Postoperative hospitalized duration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twelve patients were included in the retrospective group. The three\u2010dimensional reconstruction models were successfully performed, and the DFA was located in all patients. According to the segmentation of the DFA, we established a novel surgical strategy system focused on feeding artery management. All 11 patients in the prospective group underwent successful management of the DFA by intraoperative ligation with less intraoperative bleeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this study, we introduced a novel surgical strategy system for JNA. The system focuses on feeding artery management, ensuring bleeding control based on the location of DFA on three\u2010dimensional image reconstruction. As a result of clear and straightforward image classification, intraoperative bleeding was decreased. This system may become a meaningful reference for JNA preoperative planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjo2.70040","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T13:54:42Z","timestamp":1752069282000},"page":"410-418","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Novel Surgical Strategy System for Juvenile Nasopharyngeal Angiofibroma: A Focus on Feeding Artery Management"],"prefix":"10.1002","volume":"12","author":[{"given":"Nian\u2010Zhen","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital of Sun Yat\u2010sen University Guangzhou China"},{"name":"Otorhinolaryngology Institute of Sun Yat\u2010sen University Guangzhou China"},{"name":"Guangzhou Key Laboratory of Otorhinolaryngology Guangzhou China"},{"name":"Key Laboratory of Human Microbiome and Chronic Diseases (Sun Yat\u2010sen University), Ministry of Education Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010Hui","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital of Sun Yat\u2010sen University Guangzhou China"},{"name":"Otorhinolaryngology Institute of Sun Yat\u2010sen University Guangzhou China"},{"name":"Guangzhou Key Laboratory of Otorhinolaryngology Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zi\u2010Cheng","family":"He","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital of Sun Yat\u2010sen University Guangzhou China"},{"name":"Otorhinolaryngology Institute of Sun Yat\u2010sen University Guangzhou China"},{"name":"Guangzhou Key Laboratory of Otorhinolaryngology Guangzhou 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