Perioperative Outcomes in Antegrade, Retrograde, and Extracapsular Approaches to Parotidectomy in Benign and Malignant Neoplasms

In benign parotidectomy, extracapsular dissection significantly reduced transient facial weakness, while retrograde dissection demonstrated a trend toward reduced transient weakness compared with antegrade. In malignant disease, outcomes were similar across approaches. Selective application of extracapsular and retrograde techniques may optimize facial nerve outcomes and operative efficiency.

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Publication Details

Journal
Otolaryngology
Published
2026-01-08
DOI
https://doi.org/10.1002/ohn.70112
Primary Topic
Salivary Gland Tumors Diagnosis and Treatment
Type
article
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article

Perioperative Outcomes in Antegrade, Retrograde, and Extracapsular Approaches to Parotidectomy in Benign and Malignant Neoplasms

David Forner, Lisa Chionis, Kimberly Oslin, Steven Bennett Chinn et al.
Otolaryngology
Salivary Gland Tumors Diagnosis and Treatment
article

Perioperative Outcomes in Antegrade, Retrograde, and Extracapsular Approaches to Parotidectomy in Benign and Malignant Neoplasms

David Forner, Lisa Chionis, Kimberly Oslin, Steven Bennett Chinn, Josh D. Smith, Emma Hershey, Christian Schaaff, Molly E. H. Neal, Mark E. P. Prince, Michael M. Alevato, Andrew D. P. Prince
article en

Abstract

In benign parotidectomy, extracapsular dissection significantly reduced transient facial weakness, while retrograde dissection demonstrated a trend toward reduced transient weakness compared with antegrade. In malignant disease, outcomes were similar across approaches. Selective application of extracapsular and retrograde techniques may optimize facial nerve outcomes and operative efficiency.

OtolaryngologyVol. 174(2)
Dartmouth–Hitchcock Medical Center (US), University of Michigan (US), Kaiser Permanente Oakland Medical Center (US), Henry Ford Hospital (US), University of Pittsburgh Medical Center (US)
Openalex Percentile: Top 96%
Salivary Gland Tumors Diagnosis and Treatment
DOIOpen Access PDFOpenAlex
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