ArticleLaryngoscope investigative otolaryngology2025
Practice Patterns in Management of Low- to Intermediate-Grade Salivary Gland Carcinoma: A Multi-Institutional Study.
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1 citing paper in PubMed.
- Practice Patterns in Management of Low- to Intermediate-Grade Salivary Gland Carcinoma: A Multi-Institutional Study.Laryngoscope investigative otolaryngology · 2025Article
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Authors and funding
82 authors.
Mirabelle SajiseviDivision of Otolaryngology University of Vermont Medical Center Burlington USA.ORCID https://orcid.org/0000-0003-3126-7739
Kenny NguyenRobert Larner College of Medicine University of Vermont Burlington Vermont USA.ORCID https://orcid.org/0000-0003-2858-1225
Peter CallasRobert Larner College of Medicine University of Vermont Burlington Vermont USA.
Andrew J HolcombDepartment of Head & Neck Surgical Oncology, Estabrook Cancer Center, Nebraska Methodist Hospital Omaha Nebraska USA.ORCID https://orcid.org/0000-0001-8397-2312
Emre VuralDepartment of Otolaryngology University of Arkansas for Medical Sciences Little Rock Arkansas USA.
Kyle P DavisDepartment of Otolaryngology St Louis University School of Medicine St Louis Missouri USA.
Carissa M ThomasDepartment of Otolaryngology University of Alabama at Birmingham Birmingham Alabama USA.ORCID https://orcid.org/0000-0003-0765-5731
John S SteinDepartment of Otolaryngology University of Alabama at Birmingham Birmingham Alabama USA.
Ameya AsarkarDepartment of Otolaryngology/Head & Neck Surgery Ochsner-LSU Health Shreveport Louisiana USA.ORCID https://orcid.org/0000-0001-9028-8746
Ricardo AuletDepartment of Otolaryngology, UMass Memorial Medical Center Worcester Massachusetts USA.
Rebecca K BellGeisel School of Medicine at Dartmouth, Section of Otolaryngology, Dartmouth Hitchcock Medical Center Lebanon New Hampshire USA.
Michael A BlascoDepartment of Otolaryngology, Donald and Barbara Zucker School of Medicine/Northwell Northwell Health Cancer Institute New York New York USA.
Vanessa B BowmasterUniversity of Nebraska College of Medicine Omaha Nebraska USA.
Clayton P BurrussUniversity of Kentucky, Department of Otolaryngology-Head and Neck Surgery Lexington Kentucky USA.
Jeffson ChungDepartment of Otolaryngology - Head & Neck Surgery West Virginia University Morgantown West Virginia USA.ORCID https://orcid.org/0000-0003-0176-4320
Kimberly ChanDepartment of Otolaryngology Head and Neck Surgery Penn State College of Medicine Hershey Pennsylvania USA.ORCID https://orcid.org/0000-0003-4053-4990
Brent A ChangDepartment of Otolaryngology - Head & Neck Surgery, Mayo Clinic Arizona Phoenix Arizona USA.ORCID https://orcid.org/0000-0001-5821-4640
Charles S CoffeyDepartment of Otolaryngology/Head and Neck Surgery UC San Diego School of Medicine San Diego California USA.
David M CognettiDepartment of Otolaryngology - Head & Neck Surgery, Sidney Kimmel Medical College/Sidney Kimmel Cancer Center Thomas Jefferson University Philadelphia Pennsylvania USA.
Dylan J CooperDepartment of Otolaryngology, Donald and Barbara Zucker School of Medicine/Northwell Northwell Health Cancer Institute New York New York USA.
Joehassin CorderoDepartment of Otolaryngology and Head & Neck Surgery Texas Tech University - Health Sciences Center Lubbock Texas USA.
John DonovanSalem Hospital Salem Oregon USA.
Yue Jennifer DuFaculty of Medicine University of Toronto Toronto Canada.
Yusuf DundarDepartment of Otolaryngology and Head & Neck Surgery Texas Tech University - Health Sciences Center Lubbock Texas USA.ORCID https://orcid.org/0000-0002-2975-2682
Rogerio DedivitisDepartment of Head and Neck Surgery University of São Paulo School of Medicine São Paulo Brazil.ORCID https://orcid.org/0000-0002-6267-1147
Heather EdwardsDepartment of Otolaryngology Boston University Chobanian & Avedisian School of Medicine Boston Massachusetts USA.
Boban M ErovicInstitute of Head and Neck Diseases, Evangelical Hospital Vienna Vienna Austria.
Antoine EskanderDepartment of Otolaryngology - Head and Neck Surgery University of Toronto, Sunnybrook Health Sciences Centre and Michael Garron Hospital Toronto Canada.
Philip A FeinbergMedical Scientist Training Program UMass Chan Medical School Worcester Massachusetts USA.
Emily A GarveyDepartment of Otolaryngology - Head and Neck Surgery Thomas Jefferson University Hospital Philadelphia Pennsylvania USA.
David GoldsteinDepartment of Otolaryngology-Head & Neck Surgery University of Toronto Toronto Canada.ORCID https://orcid.org/0000-0001-9390-7928
Joseph F GoodmanDivision of Otolaryngology-Head and Neck Surgery George Washington University School of Medicine and Health Sciences Washington DC USA.
Rafael N GoulartHospital Governador Celso Ramos, Florianopolis Brazil.
Neerav GoyalDepartment of Otolaryngology Head and Neck Surgery Penn State College of Medicine Hershey Pennsylvania USA.ORCID https://orcid.org/0000-0001-7783-1097
Stefan GraslDepartment of Otorhinolaryngology - Head and Neck Surgery Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0000-0001-9523-7489
Jonathan GiurintanoDepartment of Otolaryngology, Georgetown Washington DC USA.ORCID https://orcid.org/0009-0001-6337-9228
Nikita GuptaUniversity of Kentucky, Department of Otolaryngology-Head and Neck Surgery Lexington Kentucky USA.ORCID https://orcid.org/0000-0002-7762-5493
Andy HabibDepartment of Otolaryngology, Georgetown Washington DC USA.ORCID https://orcid.org/0000-0003-3366-8528
Trevor HackmanDepartment of Otolaryngology/Head and Neck Surgery The University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.ORCID https://orcid.org/0000-0001-9330-2398
Jared H HaraDepartment of Radiation and Cellular Oncology The University of Chicago Chicago USA.
Christina HensonDepartment of Radiation Oncology The University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA.ORCID https://orcid.org/0000-0002-5419-4125
Michael L HinniDepartment of Otolaryngology - Head & Neck Surgery, Mayo Clinic Arizona Phoenix Arizona USA.
Nadia HuaDepartment of Otolaryngology-Head and Neck Surgery University of Ottawa Ottawa Canada.
Stephanie Johnson-ObasekiDepartment of Otolaryngology-Head and Neck Surgery University of Ottawa Ottawa Canada.
Aditya JulooriDepartment of Radiation and Cellular Oncology The University of Chicago Chicago USA.
Noah S KalmanMiami Cancer Institute, Baptist Health South Florida and the Herbert Wertheim College of Medicine Florida International University USA.
Alexandra KejnerDepartment of Otolaryngology Medical University of South Carolina Charleston South Carolina USA.ORCID https://orcid.org/0000-0002-1999-2818
Sobia F KhajaDepartment of Otolaryngology University of Minnesota Minneapolis Minnesota USA.
Jamie A KuHead and Neck Institute, Cleveland Clinic Cleveland Ohio USA.
Arnaud LambertDepartment of Otolaryngology-Head and Neck Surgery McGill University Montreal Canada.
Bao K LuuDepartment of Otolaryngology/Head and Neck Surgery UC San Diego School of Medicine San Diego California USA.
Kelly R MaglioccaDepartment of Pathology and Laboratory Medicine Winship Cancer Institute at Emory University Atlanta Georgia USA.
Luiz R Medina Dos SantosHospital Governador Celso Ramos, Florianopolis Brazil.
Cara MichaelDepartment of Otolaryngology Boston University Chobanian & Avedisian School of Medicine Boston Massachusetts USA.
Brett MilesDepartment of Otolaryngology, Donald and Barbara Zucker School of Medicine/Northwell Northwell Health Cancer Institute New York New York USA.
Giulianno Molina de MeloDepartment of Otorhinolaryngology and Head and Neck Surgery Federal University of Sao Paulo - UNIFESP/EPM Brazil.ORCID https://orcid.org/0000-0001-8220-6317
Michael G MooreDepartment of Otolaryngology Indiana University Indianapolis Indiana USA.
Gregoire B MorandDepartment of Otolaryngology-Head and Neck Surgery McGill University Montreal Canada.ORCID https://orcid.org/0000-0002-6150-6772
Kauê MouraDepartment of Head and Neck Surgery, Santa Casa de Misericórdia de Santos Santos Brazil.
Hesameddin NorooziDepartment of Otolaryngology-Head & Neck Surgery University of Toronto Toronto Canada.
Rusha PatelDepartment of Otolaryngology University of Oklahoma Oklahoma City Oklahoma USA.
Joseph PaydarfarGeisel School of Medicine at Dartmouth, Section of Otolaryngology, Dartmouth Hitchcock Medical Center Lebanon New Hampshire USA.ORCID https://orcid.org/0000-0003-1490-6797
Karolina A Plonowska-HirschfeldDepartment of Otolaryngology University of California San Francisco California USA.
Nader SadeghiDepartment of Otolaryngology-Head and Neck Surgery McGill University Montreal Canada.ORCID https://orcid.org/0000-0002-3218-2668
Fabrice SavariaDepartment of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital St.Gallen, St Gallen Switzerland.
Nicole C SchmittDepartment of Otolaryngology Winship Cancer Institute at Emory University Atlanta Georgia USA.ORCID https://orcid.org/0000-0002-0571-3531
Justin ShapiroDepartment of Otolaryngology - Head & Neck Surgery Western University London Canada.
Timothy B ShaverDivision of Otolaryngology-Head and Neck Surgery George Washington University School of Medicine and Health Sciences Washington DC USA.ORCID https://orcid.org/0000-0002-7769-6718
Sandro J StoeckliDepartment of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital St.Gallen, St Gallen Switzerland.
William Alvo StokesDepartment of Otolaryngology - Head & Neck Surgery West Virginia University Morgantown West Virginia USA.
Anita SulibhaviDepartment of Otolaryngology Temple University Hospital Philadelphia Pennsylvania USA.
Jason TasoulasDepartment of Otolaryngology/Head and Neck Surgery The University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.ORCID https://orcid.org/0000-0003-3791-3252
Varun VendraDepartment of Otolaryngology Temple University Hospital Philadelphia Pennsylvania USA.
Daniel B VinhDepartment of Otolaryngology Indiana University Indianapolis Indiana USA.
Celina G VirgenDepartment of Otolaryngology University of Kansas Medical Center, Department of Otolaryngology-Head and Neck Surgery Andover Massachusetts USA.
Neil M WoodyDepartment of Radiation Oncology Taussig Cancer Institute, Cleveland Clinic Cleveland Ohio USA.
Geoffrey D YoungMiami Cancer Institute, Baptist Health South Florida and the Herbert Wertheim College of Medicine Florida International University USA.
Kiran KakaralaDepartment of Otolaryngology University of Kansas Medical Center, Department of Otolaryngology-Head and Neck Surgery Andover Massachusetts USA.
Danny J EnepekidesDepartment of Otolaryngology - Head and Neck Surgery University of Toronto, Sunnybrook Health Sciences Centre and Michael Garron Hospital Toronto Canada.
Michael P HierOtolaryngology-Head and Neck Surgery, Jewish General Hospital Montreal Canada.
Louise DaviesThe VA Outcomes Group, White River Junction, Vermont; Geisel School of Medicine at Dartmouth: Department of Surgery-Otolaryngology Head & Neck Surgery and The Dartmouth Institute for Health Policy & Clinical Practice Lebanon Pennsylvania USA.
William R RyanDepartment of Otolaryngology University of California San Francisco California USA.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: To characterize practice patterns and outcomes in the management of low- and intermediate-grade salivary gland carcinoma prior to the existence of treatment guidelines. Methods: Analysis of a registry of patients who underwent parotid and submandibular gland resections for low-and intermediate-grade carcinomas between 2010 and 2019. Results: Of all 786 patients included in the study, 726 (92%) had preoperative imaging and 653 (83%) had preoperative biopsy. Of the 729 patients with parotid gland cancer, the majority underwent superficial ( Conclusions: Management of low- and intermediate-grade salivary cancer from 2010 to 2019 was variable, which is expected given the rarity and heterogeneity of the disease and the lack of treatment guidelines prior to 2021. Most patients with parotid malignancies underwent superficial or total parotidectomy. The extent of parotidectomy had an impact on facial nerve function outcomes. Delivery of adjuvant radiation trended down with time. The data presented here will support dissemination of the guidelines and provide data that could inform future trials. Level of Evidence: 2b.
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facial nerve outcomesguidelinesguidelines disseminationmajor salivary gland cancerpractice patterns
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