{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T09:46:43Z","timestamp":1785836803016,"version":"3.56.0"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare perioperative outcomes, postoperative safety, and patient\u2010reported outcomes among conventional, endoscopic, and robot\u2010assisted parotidectomy for primary benign parotid tumors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary academic institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 212 adults undergoing parotidectomy were enrolled from January 2022 to June 2025. All operations were performed by a single medical team; robot\u2010assisted and endoscopic procedures were performed by a single surgeon to reduce learning\u2010curve variation. Outcomes included perioperative metrics, short\u2010 and long\u2010term complications, local recurrence, scar visual analog scale, and Parotidectomy Outcome Inventory\u20108 scores. Inverse probability of treatment weighting was used to reduce confounding; effect estimates are reported as weighted mean differences and odds ratios with 95% confidence intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 212 patients (78 conventional, 106 endoscopic, 28 robot\u2010assisted), statistical analyses showed that despite longer operative times (vs endoscopic: +41.63\u2009minutes; vs conventional: +56.04\u2009minutes), robot\u2010assisted parotidectomy resulted in lower blood loss (vs endoscopic: \u221214.03\u2009mL; vs conventional: \u221210.30\u2009mL). Compared to endoscopic surgery, it exhibited a lower risk of long\u2010term complications, including facial nerve palsy (\u221278% in odds). Compared to conventional surgery, both minimally invasive approaches achieved shorter incisions (robot\u2010assisted: \u22124.41\u2009cm; endoscopic: \u22124.71\u2009cm) and improved patient\u2010reported outcomes, while robot\u2010assisted surgery additionally reduced the risk of short\u2010term complications. No increased perioperative or postoperative risk was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Robot\u2010assisted parotidectomy was associated with improved clinical and patient\u2010reported outcomes without evidence of increased risk. Its clinical value warrants further validation in prospective multicenter cohorts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70361","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T09:08:45Z","timestamp":1785834525000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Robot\u2010assisted Parotidectomy: Improved Clinical and Patient\u2010Reported Outcomes"],"prefix":"10.1002","author":[{"given":"Ruochong","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Head and Neck Oncology, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiyan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zijun","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Dentistry Government Medical College &amp; Hospital  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinghang","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jialu","family":"He","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunjie","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guiquan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology, West China Hospital of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"issue":"3","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1002\/hed.2890080309","article-title":"Salivary neoplasms: overview of a 35\u2010year experience with 2,807 patients","volume":"8","author":"SPIRO RH","year":"1986","journal-title":"Head Neck Surg"},{"issue":"5","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.bjoms.2012.10.002","article-title":"Incidence of salivary gland neoplasms in a defined UK population","volume":"51","author":"Bradley PJ","year":"2013","journal-title":"Br J Oral Maxillofac Surg"},{"issue":"3","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.ijom.2009.10.016","article-title":"Salivary gland neoplasms in oral and maxillofacial regions: a 23\u2010year retrospective study of 6982 cases in an eastern Chinese population","volume":"39","author":"Tian Z","year":"2010","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"3","key":"e_1_2_10_5_1","doi-asserted-by":"crossref","first-page":"563","DOI":"10.47162\/RJME.63.3.11","article-title":"Benign tumors of the superficial lobe of the parotid gland","volume":"63","author":"\u015etef\u0103nescu EH","year":"2023","journal-title":"Rom J Morphol Embryol"},{"issue":"3","key":"e_1_2_10_6_1","doi-asserted-by":"crossref","first-page":"273","DOI":"10.5152\/eurasianjmed.2019.19108","article-title":"Which surgical method is superior for the treatment of parotid tumor? 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