Evidence map›Paper›PMID 30267218›Full record

ReviewEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2018

Management of the facial nerve in parotid cancer: preservation or resection and reconstruction.

Orlando Guntinas-Lichius, Carl E Silver, Jovanna Thielker, Manuel Bernal-Sprekelsen, Carol R Bradford, Remco De Bree, Luis P Kowalski, Kerry D Olsen, Miquel Quer, Alessandra Rinaldo and 7 more

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Facial nerve electrodiagnostics for patients with facial palsy: a clinical practice guideline.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2020
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  14. Surgery for facial palsy in the hands of otorhinolaryngologists: a population-based study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  15. An analysis of health-related quality of life in children and adolescents after parotidectomy based on patient-reported outcomes.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
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  17. Delayed repair of the facial nerve and its negative impacts on nerve and muscle regeneration.The journal of venomous animals and toxins including tropical diseases · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 16 institutions in 9 countries.

Orlando Guntinas-LichiusDepartment of Otorhinolaryngology, Institute of Phoniatry/Pedaudiology, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany. orlando.guntinas@med.uni-jena.de.ORCID http://orcid.org/0000-0001-9671-0784
Carl E SilverDepartment of Surgery, University of Arizona College of Medicine, Phoenix, USA.
Jovanna ThielkerDepartment of Otorhinolaryngology, Institute of Phoniatry/Pedaudiology, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.
Manuel Bernal-SprekelsenHospital Clinic, Servicio de ORL, University of Barcelona, Barcelona, Spain.
Carol R BradfordDepartment of Otolaryngology, University of Michigan, Ann Arbor, USA.
Remco De BreeDepartment of Head and Neck Surgical Oncology, UMC Utrecht Cancer Center, University Medical Center Utrecht, Utrecht, The Netherlands.
Luis P KowalskiDepartment of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Kerry D OlsenDepartment of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.
Miquel QuerEuropean Salivary Gland Society, Geneva, Switzerland.
Alessandra RinaldoUniversity of Udine School of Medicine, Udine, Italy.
Juan R RodrigoDepartment of Otolaryngology, Hospital Universitario Central de Asturias and Instituto Universitario de Oncología del Principado de Asturias, CIBERONC, Oviedo, Spain.
Alvaro SanabriaDepartment of Surgery, School of Medicine, Clinica Vida, Universidad de Antioquia, Medellín, Colombia.
Ashok R ShahaHead and Neck Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Robert P TakesDepartment of Otolaryngology-Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Vincent Vander PoortenEuropean Salivary Gland Society, Geneva, Switzerland.
Peter ZbärenDepartment of Otorhinolaryngology-Head and Neck Surgery, University Hospital, Berne, Switzerland.
Alfio FerlitoCoordinator of the International Head and Neck Scientific Group, Padua, Italy.
AC Camargo Hospital · BRCentro de Investigación Biomédica en Red de Cáncer · ESEuropean Respiratory Society · CHHospital de Sant Pau · ESJena University Hospital · DEKU Leuven · BEMayo Clinic · USMemorial Sloan Kettering Cancer Center · USRadboud University Nijmegen · NLUniversidad de Antioquia · COUniversitat de Barcelona · ESUniversity Hospital of Bern · CHUniversity Medical Center Utrecht · NLUniversity of Arizona · USUniversity of Michigan · USUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeManagement of the facial nerve is instrumental in the surgical treatment of parotid cancer.

methodsA literature search was conducted using PubMed and ScienceDirect database. A total of 195 articles were finally included into the analysis, based on relevance, scientific evidence and actuality.

resultsIn the majority of cases the facial nerve is not involved by tumor. In these cases, identification and preservation of the nerve, in addition to complete tumor removal, are essential for successful surgery. When the nerve is infiltrated by tumor, the affected portion of the nerve must be resected as part of radical parotidectomy. Primary nerve reconstruction or other reanimation techniques give the best long-term functional and cosmetic results. A comprehensive diagnostic evaluation with current imaging and electrophysiological studies will provide the surgeon with the best knowledge of the relationship of the facial nerve to the tumor. Several standardized methods are helpful in finding, dissecting and preserving the nerve during parotid cancer surgery. When radical parotidectomy is indicated, the initial diagnostic work-up can assist in defining the need for adjuvant postoperative therapy and facial reanimation. The aim of rehabilitation is to restore tone, symmetry, and movement to the paralyzed face.

conclusionsThe surgical management of facial paralysis has undergone many improvements in recent years. This review gives an overview of recent advances in the diagnostic work-up, surgical techniques and any necessary rehabilitation of the facial nerve in parotid cancer surgery.

Indexed as

Electric StimulationElectromyographyFacial NerveFacial Nerve InjuriesFacial ParalysisHumansIntraoperative Neurophysiological MonitoringNeoplasm InvasivenessParotid NeoplasmsPostoperative ComplicationsFacial nerveFacial nerve preservationFacial nerve reconstructionFacial nerve sacrificeParotid cancerParotidectomyParotid tumor

Identifiers

PMID30267218
OpenAlexW2892941978

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.