{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:41:24Z","timestamp":1787071284142,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Deep-lobe tumors have been shown to possess a significantly thicker capsule with less tumor penetration compared to superficial tumors. Thus, more conservative surgical approaches, rather than aggressive methods, have been proposed for treating benign deep-lobe tumors of the parotid gland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To evaluate the surgical outcomes and oncological safety of selective deep-lobe parotidectomy (SDLP) in patients with benign lesions located in the deep lobe of the parotid gland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty-two patients who underwent SDLP were enrolled in the study. Data on age, sex, tumor size, hospitalization duration, recurrence, cosmetic outcomes, and complications\u2014including facial nerve (FN) impairment, Frey\u2019s syndrome (FS), sialocele, first-bite syndrome (FBS), wound infection, hematoma, and seroma \u2014were retrospectively evaluated from hospital records. Facial contour symmetry was rated by each patient using a 0\u201310 VAS score at least six months post-surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Final histopathological examination revealed that the most common tumor was pleomorphic adenoma (PA) (59.1%). Three patients (13%) experienced temporary paralysis of the marginal branch of the FN, with a House-Brackman Grade III, which resolved spontaneously within two months post-surgery. No cases of permanent FN paralysis, FS, FBS, or sialocele were observed in any patients. The mean VAS score for facial contour symmetry was 9.43 \u00b1 0.78. No recurrence were noted in any patients over a median follow-up period of 71.7 \u00b1 21.2 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>SDLP may facilitate the safe surgical removal of benign lesions located in the deep lobe of the parotid gland, with oncological safety, reduced complication rates, and improved cosmetic outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_338_24","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:00:09Z","timestamp":1733270409000},"page":"1282-1286","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Selective Deep-Lobe Parotidectomy for Benign Parotid Gland Tumors"],"prefix":"10.4103","volume":"27","author":[{"given":"A","family":"Bayram","sequence":"first","affiliation":[{"name":"Department of ENT, Kayseri City Training and Research Hospital, Kayseri, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A\u015e","family":"Gen\u00e7","sequence":"additional","affiliation":[{"name":"Department of ENT, Kayseri City Training and Research Hospital, Kayseri, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Alt\u0131parmak","sequence":"additional","affiliation":[{"name":"Department of ENT, Kayseri City Training and Research Hospital, Kayseri, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Kaya","sequence":"additional","affiliation":[{"name":"Department of ENT, Kayseri City Training and Research Hospital, Kayseri, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"\u015eenel","sequence":"additional","affiliation":[{"name":"Department of Pathology, Kayseri City Training and Research Hospital, Kayseri, 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