{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:31:12Z","timestamp":1790361072610,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,10,5]],"date-time":"2016-10-05T00:00:00Z","timestamp":1475625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this study was to evaluate the clinical outcome in patients with benign parotid gland tumors after extracapsular dissection or superficial parotidectomy (SP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eight hundred ninety\u2010four patients with primary pleomorphic adenoma or Warthin's tumor were included from this study. Type and length of surgery, tumor size, resection margins, and complication rates were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred ninety\u2010five (44.2%) extracapsular dissections and 499 SPs (55.8%) were performed. The rate of positive margins was significantly higher in the extracapsular dissection compared to the SP group (29.4% vs 10.2%; <jats:italic>p<\/jats:italic> &lt; .0001). Recurrent disease (extracapsular dissection = 7.2% vs SP = 2.2%; <jats:italic>p<\/jats:italic> = .0003) and permanent facial palsy were significantly more frequent after extracapsular dissection than SP (2.2% vs 0.6%; <jats:italic>p<\/jats:italic> = .0396). Significant prolonged surgery time was observed after SP (146 vs 94 minutes; <jats:italic>p<\/jats:italic> &lt; .0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Because extracapsular dissection led to a significantly higher percentage of permanent facial palsy, recurrent disease, and positive resection margins compared to SP, we recommend SP for treating benign parotid gland tumors. \u00a9 2016 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>39:<\/jats:bold> 356\u2013360, 2017<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24598","type":"journal-article","created":{"date-parts":[[2016,10,12]],"date-time":"2016-10-12T18:19:12Z","timestamp":1476296352000},"page":"356-360","source":"Crossref","is-referenced-by-count":70,"title":["Extracapsular dissection versus superficial parotidectomy in benign parotid gland tumors: The Vienna Medical School experience"],"prefix":"10.1002","volume":"39","author":[{"given":"Lorenz","family":"Kadletz","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery Medical University of Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Grasl","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery Medical University of Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matth\u00e4us C.","family":"Grasl","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery Medical University of Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christos","family":"Perisanidis","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery Medical University of Vienna Vienna 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