{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T16:19:19Z","timestamp":1762100359284,"version":"build-2065373602"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":4064,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2005,4]]},"abstract":"<jats:p>The aim of this work is to establish a local excision procedure (LEP) and indications of this procedure for Warthin's tumor. Seventy\u2010three patients (82 sides) with Warthin's tumor were studied. Point I was located 1\u00a0cm from the intertragal notch in the direction indicated by the notch. Point S was located 5\u00a0mm superior to the inferior end of the mandibular angle. The trunk of the facial nerve and the marginal mandibular branch run at the points I and S, respectively. In surgical maneuvers below the I\u2010S line, the marginal mandibular and colli branches may exist within the surgical field, but the trunk and other peripheral branches of the facial nerve will not be encountered. For Warthin's tumor estimated to be below the I\u2010S line (Group A), LEP was used, involving resection of the tumor after locating and dissecting the marginal mandibular and colli branches. For tumors not meeting these criteria (Group B), partial superficial parotidectomy was performed. Results indicated that mean volume of hemorrhage was significantly smaller, and that mean operation time was significantly shorter in Group A than in Group B. Conversely, no significant difference in tumor size or incidence of postoperative facial paresis was identified between the 2\u00a0groups. Recurrence has not yet been noted in either group. In conclusion, LEP is useful for Warthin's tumor below the I\u2010S line. This procedure seems applicable not only to Warthin's tumors, but also to other benign parotid tumors in the surgical field below the I\u2010S line, such as pleomorphic adenoma and lymphoepithelial cyst.<\/jats:p>","DOI":"10.1016\/j.otohns.2004.09.071","type":"journal-article","created":{"date-parts":[[2005,4,2]],"date-time":"2005-04-02T07:14:54Z","timestamp":1112426094000},"page":"577-580","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Local Excision Procedure for Warthin's Tumor of the Parotid Gland"],"prefix":"10.1002","volume":"132","author":[{"given":"Hiroshi","family":"Iwai","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Rakusai New Town Hospital Kansai Medical University Kyoto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshio","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Kansai Medical University Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(94)90046-9"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199708000-00003"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1997.02551.x"},{"key":"e_1_2_1_5_1","first-page":"155","article-title":"Complications of superficial parotidectomy versus extracapsular lumpectomy in the treatment of benign parotid lesion","volume":"37","author":"Prichard AJN","year":"1992","journal-title":"J R Coll Surg Edinb"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/1096-9098(200011)75:3<208::AID-JSO10>3.0.CO;2-I"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489309126192"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-4356(98)90495-8"},{"key":"e_1_2_1_9_1","first-page":"231","volume-title":"Parotid tumors: concepts in head and neck surgery","author":"Conley J","year":"1970"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.10.1166"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198306000-00002"},{"key":"e_1_2_1_12_1","first-page":"61","article-title":"Multicentricity of the Warthin's tumors","volume":"75","author":"Bratnik DS","year":"1976","journal-title":"Wis Med J"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0194599804018546?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2004.09.071","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0194599804018546?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2004.09.071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:27:47Z","timestamp":1760952467000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2004.09.071"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,4]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2005,4]]}},"alternative-id":["10.1016\/j.otohns.2004.09.071"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2004.09.071","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2005,4]]},"assertion":[{"value":"2016-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}