{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T15:53:43Z","timestamp":1790956423062,"version":"4.1.0"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215126105325_sec1a\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Vagal schwannomas of the parapharyngeal space are rare benign tumours and the optimal surgical approach remains debated. This study aimed to identify clinical and tumour-related factors associated with different surgical strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105325_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review was conducted in accordance with Preferred Reporting Items for Systematic Review and Meta-Analyses (\u2018PRISMA\u2019) 2020 guidelines. Studies published between January 1997 and March 2026 were identified, and analyses were restricted to surgically treated patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105325_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-five studies including 87 patients were analysed. The transcervical approach was most frequently used, followed by transoral and combined approaches. Tumour size was not associated with surgical approach selection. Pre-operative hoarseness and oropharyngeal bulging were more common in transoral cases, whereas cervical mass predominated in transcervical and combined approaches. Overall, complications were infrequent and recurrence was rare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105325_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Selection of the surgical approach appeared to be influenced by anatomical considerations rather than tumour size. These findings describe contemporary surgical decision-making patterns without demonstrating superiority between approaches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215126105325","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T08:11:43Z","timestamp":1782979903000},"page":"954-962","source":"Crossref","is-referenced-by-count":3,"title":["Surgical management of parapharyngeal vagal schwannomas: a systematic review and practical considerations for approach selection"],"prefix":"10.1017","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5600-3938","authenticated-orcid":false,"given":"Francesco","family":"Chiari","sequence":"first","affiliation":[{"name":"Pescara"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Carosi","sequence":"additional","affiliation":[{"name":"Alma Mater Studiorum - Universit\u00e0 di Bologna"},{"id":[{"id":"https:\/\/ror.org\/00t4vnv68","id-type":"ROR","asserted-by":"publisher"}],"name":"IRCCS Azienda Ospedaliero-Universitaria of Bologna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Fermi","sequence":"additional","affiliation":[{"name":"Alma Mater Studiorum - Universit\u00e0 di Bologna"},{"id":[{"id":"https:\/\/ror.org\/00t4vnv68","id-type":"ROR","asserted-by":"publisher"}],"name":"IRCCS Azienda Ospedaliero-Universitaria of Bologna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Livio","family":"Presutti","sequence":"additional","affiliation":[{"name":"Alma Mater Studiorum - Universit\u00e0 di Bologna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Mercante","sequence":"additional","affiliation":[{"name":"Alma Mater Studiorum - Universit\u00e0 di Bologna"},{"id":[{"id":"https:\/\/ror.org\/00t4vnv68","id-type":"ROR","asserted-by":"publisher"}],"name":"IRCCS Azienda Ospedaliero-Universitaria of Bologna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Motta","sequence":"additional","affiliation":[{"name":"University of Campania \u201cLuigi Vanvitelli\u201d"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio Donadio","family":"Caporale","sequence":"additional","affiliation":[{"name":"Pescara"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Guarino","sequence":"additional","affiliation":[{"name":"Pescara"},{"name":"University \u201cG. d\u2019Annunzio\u201d Chieti-Pescara"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"S0022215126105325_ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"S0022215126105325_ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-023-08071-0"},{"key":"S0022215126105325_ref18","doi-asserted-by":"publisher","DOI":"10.1136\/bmjebm-2017-110853"},{"key":"S0022215126105325_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900060064011"},{"key":"S0022215126105325_ref19","first-page":"2127","article-title":"Methodological quality of case series studies: an introduction to the JBI critical appraisal tool","volume":"18","author":"Munn","year":"2020","journal-title":"JBI Evid Synth"},{"key":"S0022215126105325_ref24","doi-asserted-by":"publisher","DOI":"10.1258\/0022215021909881"},{"key":"S0022215126105325_ref29","first-page":"273","article-title":"Vagus nerve schwannoma in the parapharyngeal space: surgical, histological and immunohistochemical aspects. 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