Evidence map›Paper›PMID 37789466›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2023

Functional outcome following intracapsular resection of head and neck peripheral nerve sheath tumors: a retrospective cohort.

Liyona Kampel, Marga Serafimova, Shaun Edalati, Adi Brenner, Razan Masarwy, Anton Warshavsky, Gilad Horowitz, Yuval Shapira, Nidal Muhanna

Open access · goldAbstract read
In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Head and Neck Schwannoma Management: A Retrospective Study from South India.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
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

9 authors at 2 institutions in 1 country.

Liyona KampelThe Department of Otolaryngology Head & Neck Surgery and Maxillofacial Surgery, The Interdisciplinary Center for Head & Neck Surgical Oncology, Tel Aviv Sourasky Medical Center, 6 Weizman St, 6423906, Tel Aviv, Israel.
Marga SerafimovaThe Department of Neurosurgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Shaun EdalatiThe Department of Otolaryngology Head & Neck Surgery and Maxillofacial Surgery, The Interdisciplinary Center for Head & Neck Surgical Oncology, Tel Aviv Sourasky Medical Center, 6 Weizman St, 6423906, Tel Aviv, Israel.
Adi BrennerThe Radiology and Neuroradiology Unit, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Razan MasarwyThe Department of Otolaryngology Head & Neck Surgery and Maxillofacial Surgery, The Interdisciplinary Center for Head & Neck Surgical Oncology, Tel Aviv Sourasky Medical Center, 6 Weizman St, 6423906, Tel Aviv, Israel.
Anton WarshavskyThe Department of Otolaryngology Head & Neck Surgery and Maxillofacial Surgery, The Interdisciplinary Center for Head & Neck Surgical Oncology, Tel Aviv Sourasky Medical Center, 6 Weizman St, 6423906, Tel Aviv, Israel.
Gilad HorowitzThe Department of Otolaryngology Head & Neck Surgery and Maxillofacial Surgery, The Interdisciplinary Center for Head & Neck Surgical Oncology, Tel Aviv Sourasky Medical Center, 6 Weizman St, 6423906, Tel Aviv, Israel.
Yuval ShapiraThe Department of Neurosurgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Nidal MuhannaThe Department of Otolaryngology Head & Neck Surgery and Maxillofacial Surgery, The Interdisciplinary Center for Head & Neck Surgical Oncology, Tel Aviv Sourasky Medical Center, 6 Weizman St, 6423906, Tel Aviv, Israel. Nidalm@tlvmc.gov.il.
Tel Aviv Sourasky Medical Center · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntracapsular resection of head and neck peripheral nerve sheath tumors (PNST) has emerged as a nerve-preserving technique compared to en bloc resection. The aim of this study was to evaluate and compare the functional outcome of both surgical techniques performed at a single tertiary referral center.

methodsThis is a retrospective cohort of patients with head and neck PNST undergoing surgical resection from 2011 to 2021 at the Tel Aviv Sourasky Medical Center. Demographic data, the nerve of origin and surgical technique, including the use of intraoperative nerve monitoring were recorded and analyzed in association with postoperative functional outcomes.

resultsOverall, 25 patients who had a cervical or parapharyngeal PNST resected were included. Nerve function was preserved in 11 of 18 patients (61%) who underwent intracapsular resection, while all those who underwent en bloc resections inevitably suffered from neurologic deficits (100%, N = 7). Sympathetic chain origin and an apparent neurologic deficit pre-operatively were associated with postoperative neural compromise.

conclusionImproved functional outcome can be anticipated following intracapsular resection of extracranial head and neck PNST compared to complete resection, particularly in asymptomatic patients.

Indexed as

Head and Neck NeoplasmsNerve Sheath NeoplasmsHeadHumansNeckRetrospective StudiesTreatment OutcomeEn bloc resectionIntracapsular resectionIntraoperative nerve monitoringPeripheral nerve sheath tumorSchwannoma

Identifiers

PMID37789466
PMCPMC10546627
OpenAlexW4387306771

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.