{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:56:56Z","timestamp":1777427816556,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T00:00:00Z","timestamp":1631059200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Close margin is a frequent situation after parotidectomy. The need for systematic prophylactic revision surgery is a question that arises regularly for malignant tumors, as it exposes to a high risk of facial palsy, while oncological benefits are unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Multicentric.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>We included all patients operated for systematic revision surgery in case of close margins after parotidectomy for a malignant tumor and analyzed the rate of tumor residue and its risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A tumor residue was identified in 43.5% of 23 cases, but none in case of initial complete excision with supra-millimetric margins. Invaded lymph nodes were identified in 6 cases, but none in case of low-grade tumors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Systematic revision seems mandatory in case of infra-millimetric margins and high-grade tumors or positive lymph node; further studies are needed to confirm whether it can be spared for T1-T2\/N0 low-grade tumors, with close margins but complete initial excision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894211045269","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T01:17:42Z","timestamp":1631150262000},"page":"782-790","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Is Revision Surgery Necessary for Patients With High Risk of Recurrence After Parotidectomy? A Multicenter Retrospective Study"],"prefix":"10.1177","volume":"131","author":[{"given":"M\u00e9darine","family":"Roch","sequence":"first","affiliation":[{"name":"ENT Department, Regional University Hospital of Nancy, Nancy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4146-3565","authenticated-orcid":false,"given":"Olivier","family":"Mauvais","sequence":"additional","affiliation":[{"name":"ENT Department, Regional University Hospital of Besancon, Besancon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastien","family":"Vergez","sequence":"additional","affiliation":[{"name":"ENT Department, Regional University Hospital of Toulouse, Toulouse, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esteban","family":"Brenet","sequence":"additional","affiliation":[{"name":"ENT Department, Regional University Hospital of Reims, Reims, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7921-6020","authenticated-orcid":false,"given":"Pierre","family":"Lindas","sequence":"additional","affiliation":[{"name":"ENT Department, Robert Schuman Hospital, Metz, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Toussaint","sequence":"additional","affiliation":[{"name":"ENT Department, Regional University Hospital of Nancy, Nancy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duc Trung","family":"Nguyen","sequence":"additional","affiliation":[{"name":"ENT Department, Regional University Hospital of Nancy, Nancy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillaume","family":"Gauchotte","sequence":"additional","affiliation":[{"name":"ENT Department, Regional University Hospital of Nancy, Nancy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9cile","family":"Rumeau","sequence":"additional","affiliation":[{"name":"ENT Department, Regional University Hospital of Nancy, Nancy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1465-1707","authenticated-orcid":false,"given":"Patrice","family":"Gallet","sequence":"additional","affiliation":[{"name":"ENT Department, Regional University Hospital of Nancy, Nancy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,8]]},"reference":[{"key":"bibr1-00034894211045269","unstructured":"National Cancer Institute. 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