{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:36:16Z","timestamp":1780472176506,"version":"3.54.1"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007195","name":"Universit\u00e0 degli Studi di Napoli Federico II","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007195","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oral Maxillofac Surg"],"abstract":"<jats:title>Abstract\n<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Warthin tumors (WT) are the second most common benign parotid gland neoplasms. They can occur as synchronous or metachronous lesions in 6\u201310% of cases. This study aims to compare the complication rate in 224 patients who underwent extracapsular dissection (ECD) or superficial parotidectomy (SP) for the treatment of a WT.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This retrospective study was conducted at the Department of Maxillo-Facial Surgery at the University of Naples \u201cFederico II\u201d from February 2002 to December 2018 on a group of patients who underwent surgical treatment for WT. The type of surgical technique was chosen based on Quer\u2019s classification. The complications evaluated were facial nerve palsy, hematoma, Frey\u2019s syndrome, and bleeding.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 224 patients treated from 2002 to 2018 for Warthin tumor were included in the study. Two hundred elven had solitary tumors (94.1%) and 13 had multicentric lesions (5.8%), of which 9 cases presented synchronous lesions and 4 cases presented metachronous lesions. Extracapsular dissection (ECD) was performed in 130 patients (58.3% of cases) and superficial parotidectomy (SP) in the other 94 (41.7% of cases).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>We consider both surgical techniques as valid. In our opinion, it is essential to study each case based on Quer\u2019s Classification to obtain the best surgical outcome. Based on a lower observed rate of complications such as facial nerve palsy, Frey\u2019s syndrome, and bleeding, ECD seems to be the best option for the surgical treatment of Quer Class I lesions.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10006-023-01156-4","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T08:05:42Z","timestamp":1684224342000},"page":"131-136","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Surgical management of Warthin tumor: long-term follow-up of 224 patients from 2002 to 2018"],"prefix":"10.1007","volume":"28","author":[{"given":"Paola","family":"Bonavolont\u00e0","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristiana","family":"Germano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9444-0052","authenticated-orcid":false,"given":"Umberto","family":"Committeri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni Dell\u2019Aversana","family":"Orabona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Piombino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Abbate","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Maglitto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Iaconetta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Califano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,5,16]]},"reference":[{"issue":"2","key":"1156_CR1","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1016\/j.ijom.2019.06.006","volume":"49","author":"H Martin","year":"2020","unstructured":"Martin H, Jayasinghe J, Lowe T (2020) Superficial parotidectomy versus extracapsular dissection: literature review and search for a gold standard technique. Int J Oral Maxillofac Surg 49(2):192\u2013199","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"10","key":"1156_CR2","doi-asserted-by":"publisher","first-page":"2593","DOI":"10.1007\/s00405-018-5092-3","volume":"275","author":"AM Franzen","year":"2018","unstructured":"Franzen AM et al (2018) Increased incidence of Warthin tumours of the parotid gland: a 42-year evaluation. Eur Arch Otorhinolaryngol 275(10):2593\u20132598","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"2","key":"1156_CR3","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1002\/hed.24598","volume":"39","author":"L Kadletz","year":"2017","unstructured":"Kadletz L et al (2017) Extracapsular dissection versus superficial parotidectomy in benign parotid gland tumors: the Vienna Medical School experience. Head Neck 39(2):356\u2013360","journal-title":"Head Neck"},{"issue":"10","key":"1156_CR4","doi-asserted-by":"publisher","first-page":"998","DOI":"10.1016\/j.bjoms.2019.08.008","volume":"57","author":"P Bonavolonta","year":"2019","unstructured":"Bonavolonta P et al (2019) Postoperative complications after removal of pleomorphic adenoma from the parotid gland: a long-term follow up of 297 patients from 2002 to 2016 and a review of publications. Br J Oral Maxillofac Surg 57(10):998\u20131002","journal-title":"Br J Oral Maxillofac Surg"},{"issue":"1","key":"1156_CR5","doi-asserted-by":"publisher","first-page":"83","DOI":"10.3109\/00016489.2015.1081276","volume":"136","author":"DK Patel","year":"2016","unstructured":"Patel DK, Morton RP (2016) Demographics of benign parotid tumours: Warthin\u2019s tumorversus other benign salivary tumours. Acta Otolaryngol 136(1):83\u201386","journal-title":"Acta Otolaryngol"},{"issue":"7","key":"1156_CR6","doi-asserted-by":"publisher","first-page":"2081","DOI":"10.1007\/s00405-020-05894-z","volume":"277","author":"G Psychogios","year":"2020","unstructured":"Psychogios G et al (2020) Warthin\u2019s tumorseems to be the most common benign neoplasm of the parotid gland in Germany. Eur Arch Otorhinolaryngol 277(7):2081\u20132084","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"1","key":"1156_CR7","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1007\/BF00430674","volume":"388","author":"G Seifert","year":"1980","unstructured":"Seifert G, Bull HG, Donath K (1980) Histologic subclassification of the cystadenolymphoma of the parotid gland. Analysis of 275 cases. Virchows Arch A Pathol Anat Histol 388(1):13\u201338","journal-title":"Virchows Arch A Pathol Anat Histol"},{"issue":"4","key":"1156_CR8","doi-asserted-by":"publisher","first-page":"1993","DOI":"10.1007\/s00405-016-4436-0","volume":"274","author":"D Sagiv","year":"2017","unstructured":"Sagiv D et al (2017) Warthin tumor within the superficial lobe of the parotid gland: a suggested criterion for diagnosis. Eur Arch Otorhinolaryngol 274(4):1993\u20131996","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"4","key":"1156_CR9","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1002\/lary.20822","volume":"120","author":"M Koch","year":"2010","unstructured":"Koch M, Zenk J, Iro H (2010) Long-term results of morbidity after parotid gland surgery in benign disease. Laryngoscope 120(4):724\u2013730","journal-title":"Laryngoscope"},{"issue":"2","key":"1156_CR10","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1016\/j.nic.2018.01.004","volume":"28","author":"AAK Abdel Razek","year":"2018","unstructured":"Abdel Razek AAK, Mukherji SK (2018) Imaging of posttreatment salivary gland tumors. Neuroimaging Clin N Am 28(2):199\u2013208","journal-title":"Neuroimaging Clin N Am"},{"issue":"1","key":"1156_CR11","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1056\/NEJMra1715715","volume":"382","author":"LQM Chow","year":"2020","unstructured":"Chow LQM (2020) Head and neck cancer. N Engl J Med 382(1):60\u201372","journal-title":"N Engl J Med"},{"issue":"3","key":"1156_CR12","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/j.anorl.2011.10.008","volume":"129","author":"N Fakhry","year":"2012","unstructured":"Fakhry N, Antonini F, Michel J, Penicaud M, Mancini J, Lagier A, Santini L, Turner F, Chrestian MA, Zanaret M, Dessi P, Giovanni A (2012) Fine-needle aspiration cytology in the management of parotid masses: evaluation of 249 patients. Eur Ann Otorhinolaryngol Head Neck Dis 129(3):131\u2013135. https:\/\/doi.org\/10.1016\/j.anorl.2011.10.008","journal-title":"Eur Ann Otorhinolaryngol Head Neck Dis"},{"issue":"10","key":"1156_CR13","doi-asserted-by":"publisher","first-page":"2277","DOI":"10.1002\/hed.27099","volume":"44","author":"R Fisher","year":"2022","unstructured":"Fisher R, Ronen O (2022) Cytologic diagnosis of parotid gland Warthin tumour: systematic review and meta-analysis. Head Neck 44(10):2277\u20132287. https:\/\/doi.org\/10.1002\/hed.27099","journal-title":"Head Neck"},{"issue":"11","key":"1156_CR14","doi-asserted-by":"publisher","first-page":"3825","DOI":"10.1007\/s00405-017-4650-4","volume":"274","author":"M Quer","year":"2017","unstructured":"Quer M et al (2017) Surgical options in benign parotid tumors: a proposal for classification. Eur Arch Otorhinolaryngol 274(11):3825\u20133836","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"1156_CR15","doi-asserted-by":"publisher","unstructured":"Nielsen CF, Riis CBS, Christensen ALB, Mirz F, Reinholdt KB, Ovesen T, Fjaeldstad AW (2022) Superficial parotidectomy: impact of postoperative drainage. Ear Nose Throat J101(2):105\u2013109.\u00a0https:\/\/doi.org\/10.1177\/0145561320942380","DOI":"10.1177\/0145561320942380"},{"issue":"10","key":"1156_CR16","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1016\/j.oraloncology.2012.05.010","volume":"48","author":"L Barzan","year":"2012","unstructured":"Barzan L, Pin M (2012) Extra-capsular dissection in benign parotid tumors. Oral Oncol 48(10):977\u2013979","journal-title":"Oral Oncol"},{"issue":"2","key":"1156_CR17","doi-asserted-by":"publisher","first-page":"76","DOI":"10.5606\/kbbihtisas.2011.003","volume":"21","author":"Y Uyar","year":"2011","unstructured":"Uyar Y et al (2011) Extracapsular dissection versus superficial parotidectomy in pleomorphic adenomas of the parotid gland. Kulak Burun Bogaz Ihtis Derg 21(2):76\u201379","journal-title":"Kulak Burun Bogaz Ihtis Derg"},{"issue":"1","key":"1156_CR18","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1002\/lary.24837","volume":"125","author":"K Mantsopoulos","year":"2015","unstructured":"Mantsopoulos K et al (2015) Evolution and changing trends in surgery for benign parotid tumors. Laryngoscope 125(1):122\u2013127","journal-title":"Laryngoscope"},{"issue":"9","key":"1156_CR19","doi-asserted-by":"publisher","first-page":"1007","DOI":"10.1080\/00016489.2017.1318221","volume":"137","author":"DH Lee","year":"2017","unstructured":"Lee DH et al (2017) Extracapsular dissection for Warthin tumor in the tail of parotid gland. Acta Otolaryngol 137(9):1007\u20131009","journal-title":"Acta Otolaryngol"},{"issue":"2","key":"1156_CR20","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1016\/j.joms.2012.05.003","volume":"71","author":"G Dell'AversanaOrabona","year":"2013","unstructured":"Dell\u2019AversanaOrabona G et al (2013) Surgical management of benign tumors of the parotid gland: extracapsular dissection versus superficial parotidectomy\u2013our experience in 232 cases. J Oral Maxillofac Surg 71(2):410\u2013413","journal-title":"J Oral Maxillofac Surg"},{"key":"1156_CR21","doi-asserted-by":"publisher","unstructured":"Romano A, Faro CL, Iaconetta G, Committeri U (2020) Adenoid cystic carcinoma of accessory parotid gland: a case report and review of the literature. Oral Maxillofac Surg Cases 6(4). https:\/\/doi.org\/10.1016\/j.omsc.2020.100188","DOI":"10.1016\/j.omsc.2020.100188"},{"issue":"7","key":"1156_CR22","doi-asserted-by":"publisher","first-page":"868","DOI":"10.1016\/j.ijom.2013.03.014","volume":"42","author":"SS Zhang","year":"2013","unstructured":"Zhang SS et al (2013) Conservation of salivary secretion and facial nerve function in partial superficial parotidectomy. Int J Oral Maxillofac Surg 42(7):868\u2013873","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"9","key":"1156_CR23","doi-asserted-by":"publisher","first-page":"2004","DOI":"10.1016\/j.joms.2018.03.033","volume":"76","author":"SJ Park","year":"2018","unstructured":"Park SJ et al (2018) Preservation of salivary function following extracapsular 310 dissection for tumors of the parotid gland. J Oral Maxillofac Surg 76(9):2004\u20132010","journal-title":"J Oral Maxillofac Surg"},{"issue":"11","key":"1156_CR24","doi-asserted-by":"publisher","first-page":"2521","DOI":"10.1002\/lary.27166","volume":"128","author":"K Mantsopoulos","year":"2018","unstructured":"Mantsopoulos K et al (2018) Extracapsular dissection for warthin tumors despite the risk of ipsilateral metachronous occurrence. Laryngoscope 128(11):2521\u20132524","journal-title":"Laryngoscope"},{"issue":"1","key":"1156_CR25","doi-asserted-by":"publisher","first-page":"131","DOI":"10.21053\/ceo.2019.01900","volume":"14","author":"ES Sung","year":"2021","unstructured":"Sung ES et al (2021) Application of an intraoperative neuromonitoring system using a surface pressure sensor in parotid surgery: a rabbit model study. Clin Exp Otorhinolaryngol 14(1):131\u2013136","journal-title":"Clin Exp Otorhinolaryngol"},{"issue":"4","key":"1156_CR26","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1177\/0194599814568779","volume":"152","author":"AJ Sood","year":"2015","unstructured":"Sood AJ et al (2015) Facial nerve monitoring during parotidectomy: a systematic review and metaanalysis. Otolaryngol Head Neck Surg 152(4):631\u2013637","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"11","key":"1156_CR27","doi-asserted-by":"publisher","first-page":"2861","DOI":"10.1007\/s00405-018-5130-1","volume":"275","author":"AJ Graciano","year":"2018","unstructured":"Graciano AJ et al (2018) Facial nerve dysfunction after superficial parotidectomy with or without continuous intraoperative electromyographic neuromonitoring: a prospective randomized pilot study. Eur Arch Otorhinolaryngol 275(11):2861\u20132868","journal-title":"Eur Arch Otorhinolaryngol"}],"container-title":["Oral and Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10006-023-01156-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10006-023-01156-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10006-023-01156-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T03:05:52Z","timestamp":1709694352000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10006-023-01156-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,16]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["1156"],"URL":"https:\/\/doi.org\/10.1007\/s10006-023-01156-4","relation":{},"ISSN":["1865-1569"],"issn-type":[{"value":"1865-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,16]]},"assertion":[{"value":"16 August 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 May 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 May 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"No general ethical approval was needed, with only a patient signature and consent required by the hospital.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all the subjects involved in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The patients in this project consented to the use of all photographs and illustrations for the purposes of educational content. The signed consent forms are on file at the Maxillofacial Department of Federico II University of Naples, Naples, Italy, containing identifying patient information and signatures. These data are available upon specific request.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing of interests"}}]}}