{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T01:02:16Z","timestamp":1788397336885,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,7,3]],"date-time":"2020-07-03T00:00:00Z","timestamp":1593734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Nomenclature, classification, and management of parotid tumors are constantly evolving; this study was performed to identify temporal trends in histology and facial nerve sacrifice in parotidectomy during a 30\u2010year period (1987\u20102018).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of patients treated in a single tertiary\u2010care institution during this time period was performed with analysis of temporal trends.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two thousand eight hundred and fifty\u2010seven parotidectomies were performed; pleomorphic adenoma was the most common histology (34.3%), followed by skin cancer metastases (32.3%). Significant trends noted were increasing age (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), fewer parotidectomies for inflammatory lesions (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), reduced incidence of mucoepidermoid carcinoma (<jats:italic>P<\/jats:italic> = .048), increasing incidence of parotidectomy for cutaneous malignancies (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), and reduced facial nerve sacrifice (<jats:italic>P<\/jats:italic> = .034).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this contemporary series of parotid pathology, metastatic cutaneous malignancies accounted for a third of cases. Despite reducing facial nerve sacrifice in parotid disease, it is still required in approximately 15% of malignancy and needs to be discussed with all patients preoperatively.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26335","type":"journal-article","created":{"date-parts":[[2020,7,3]],"date-time":"2020-07-03T08:54:27Z","timestamp":1593766467000},"page":"2905-2911","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Trends in parotidectomy over 30\u2009years in an Australian tertiary care center"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5153-3136","authenticated-orcid":false,"given":"Narayana","family":"Subramaniam","sequence":"first","affiliation":[{"name":"Head and Neck Oncology, Sydney Head and Neck Cancer Institute, Royal Prince Alfred Hospital  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kan","family":"Gao","sequence":"additional","affiliation":[{"name":"Head and Neck Oncology, Sydney Head and Neck Cancer Institute, Royal Prince Alfred Hospital  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruta","family":"Gupta","sequence":"additional","affiliation":[{"name":"Pathology, Royal Prince Alfred Hospital and Central Clinical School, University of Sydney  Sydney New South Wales Australia"},{"name":"Central Clinical School, University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan Robert","family":"Clark","sequence":"additional","affiliation":[{"name":"Head and Neck Oncology, Sydney Head and Neck Cancer Institute, Royal Prince Alfred Hospital  Camperdown New South Wales Australia"},{"name":"Pathology, Royal Prince Alfred Hospital and Central Clinical School, University of Sydney  Sydney New South Wales Australia"},{"name":"Central Clinical School, University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8958-736X","authenticated-orcid":false,"given":"Tsu\u2010Hui (Hubert)","family":"Low","sequence":"additional","affiliation":[{"name":"Head and Neck Oncology, Sydney Head and Neck Cancer Institute, Royal Prince Alfred Hospital  Camperdown New South Wales Australia"},{"name":"Central Clinical School, University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2012.10.002"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12105-017-0795-0"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-008-0882-7"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890080309"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20912"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21332"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318213a11a"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24668"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.131.7.551"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2007.01.016"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.00725"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-005-3637-4"},{"issue":"2","key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"83","DOI":"10.14639\/0392-100X-1597","article-title":"Diagnostic work\u2010up in obstructive and inflammatory salivary gland disorders","volume":"37","author":"Ugga L","year":"2017","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00428-011-1040-y"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2016.01.003"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24332"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(86)90321-1"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2017.07.029"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41368-019-0059-9"}],"container-title":["Head &amp; 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