{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T09:18:18Z","timestamp":1787822298492,"version":"build-2784847793"},"reference-count":35,"publisher":"Wiley","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:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"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":["World j. otorhinolaryngol.-head neck surg."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To classify tumor\u2013internal maxillary artery (IMA) spatial relationships in pterygopalatine and infratemporal fossa (PPF\/ITF) tumors, develop a 3D fusion\u2013guided vascular control\u2010focused surgical strategy, and evaluate its clinical impact.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seventeen patients were prospectively enrolled in the 3D fusion\u2010guided vascular control\u2010focused strategy (VCFS) group, while 41 patients were retrospectively enrolled in the conventional strategy group. Multimodal imaging data were used to generate patient\u2010specific 3D models to classify tumor\u2013IMA spatial relationships and guide surgical planning under the VCFS framework. Surgical outcomes were compared using stabilized inverse probability of treatment weighting (sIPTW).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared to the conventional strategy, the VCFS significantly reduced blood loss (200 vs. 800\u2009mL;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037), decreased complications (33.8% vs. 74.3%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017), improved complete resection rates (94.7% vs. 32.7%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), but prolonged operative time (4.5\u2009h vs. 3.0\u2009h;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). Hospital stay was similar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Multimodal imaging\u2010based classification of tumor\u2013IMA relationships and application of the VCFS were associated with improved short\u2010term surgical outcomes in patients with PPF\/ITF tumors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjo2.70163","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T08:23:45Z","timestamp":1787819025000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Vascular Control\u2010Focused Surgical Strategy for Pterygopalatine and Infratemporal Fossa Tumors Using Multimodal Image Fusion Reconstruction"],"prefix":"10.1002","author":[{"given":"Zi\u2010Cheng","family":"He","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital of Sun Yat\u2010sen University, Guangzhou Key Laboratory of Otorhinolaryngology Otorhinolaryngology Institute of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nian\u2010Zhen","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital of Sun Yat\u2010sen University, Guangzhou Key Laboratory of Otorhinolaryngology Otorhinolaryngology Institute of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong\u2010Quan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital of Sun Yat\u2010sen University, Guangzhou Key Laboratory of Otorhinolaryngology Otorhinolaryngology Institute of Sun Yat\u2010sen University Guangzhou 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