Evidence map›Paper›PMID 31811452›Full record

ArticleSurgical endoscopy2020

Retroauricular endoscope-assisted versus conventional submandibular gland excision for benign and malignant tumors.

Carlos Pereira de Brito Neves, Renan Bezerra Lira, Thiago Celestino Chulam, Luiz Paulo Kowalski

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Endoscope-assisted resection of second branchial cleft fistula via the anterior chest approach.World journal of otorhinolaryngology - head and neck surgery · 2025
    Article
  4. [Clinical outcomes of partial sialoadenectomy for the treatment of benign tumors in the submandibular gland].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
    Article
  5. Review
  6. Robotic Head and Neck Surgery: Beyond TORS.Current oncology reports · 2020
    Review
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

4 authors.

Carlos Pereira de Brito NevesDepartment of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, Rua Professor Antonio Prudente, 211, Sao Paulo, 01509-900, Brazil. cpbneves@hotmail.com.ORCID 0000-0002-3142-0089
Renan Bezerra LiraDepartment of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, Rua Professor Antonio Prudente, 211, Sao Paulo, 01509-900, Brazil.
Thiago Celestino ChulamDepartment of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, Rua Professor Antonio Prudente, 211, Sao Paulo, 01509-900, Brazil.
Luiz Paulo KowalskiDepartment of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, Rua Professor Antonio Prudente, 211, Sao Paulo, 01509-900, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical scars are a significant cosmetic problem, especially when in exposed areas such as the anterior neck. To avoid or reduce visible scarring, diverse innovative surgical approaches to the neck have been introduced. The purpose of this study was to evaluate the feasibility and safety of the endoscopic resection using the retroauricular approach for submandibular gland excision.

methodsThe present study enrolled 48 patients who underwent conventional transcervical submandibular gland excision and 23 patients who underwent endoscope-assisted retroauricular approach submandibular gland excision, from February 2014 through February 2018 at the Department of Head and Neck Surgery and Otorhinolaryngology of the AC Camargo Cancer Center, in Sao Paulo, Brazil. The surgical outcomes were retrospectively reviewed.

resultsIn the conventional group, 26 (54%) patients were male. The mean age was 49.3 years (range 22-81). Twenty-two patients (46%) had sialoadenitis; twenty-one (44%) had benign and five (10%) had malignant tumors. The mean total surgical time was 86.4 min (range 40-180), and the mean total length of hospital stay was 1.3 days. Twenty-seven (56%) patients suffered from local postoperative complications in the neck. In the retroauricular group, 14 (61%) patients were male. The mean age was 44.1 years (range 24-71 years). Seven patients (31%) had sialoadenitis, twelve (53%) had benign tumors and four (16%) had malignant tumors. The mean total surgical time was 86.4 min (range 75-300 min), and the mean total length of hospital stay was 1.2 days. Twelve (53%) patients suffered from local postoperative complications in the neck. No surgical site infections or systemic complications were described.

conclusionsThe retroauricular endoscopic-assisted submandibular gland resection is feasible, with excellent cosmetic results and no significant complication rate increase, and can be a safe potential surgical alternative for patients who are motivated to avoid a visible neck scar.

Indexed as

CicatrixDissectionEndoscopySalivary Gland NeoplasmsSubmandibular GlandAdultBrazilEstheticsFemaleHumansLength of StayMaleMiddle AgedNeckOperative TimePostoperative ComplicationsHead and neck surgeryMinimal invasive surgeryRetroauricular approachSubmandibular glandSurgical scarVideo-assisted surgery

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Registered trials

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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.