ArticleInternational journal of surgery (London, England)2026
Extracapsular dissection versus superficial parotidectomy: real-world comparison of postoperative complications and facial nerve injury.
Article in International journal of surgery (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Intraoperative facial nerve monitoring on operative duration in parotidectomy: a systematic review and meta-analysis.Head & face medicine · 2026Pooled it
- Retroauricular approach for carotid body tumor resection: a case report.Frontiers in oncology · 2026Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Superficial parotidectomy (SP), involving routine facial nerve (FN) dissection, is the standard approach for benign superficial parotid tumors. Extracapsular dissection (ECD) offers a less invasive alternative by avoiding formal FN identification, but large-scale comparative data remain limited. Objective: To compare postoperative complication rates between ECD and SP. Methods: This retrospective study used the TriNetX database to identify adults with benign superficial parotid tumors who underwent ECD or SP. Propensity score matching (PSM) was performed to balance baseline covariates. Primary outcomes within 30 days included overall FN injury, surgical site infection, wound disruption, postoperative bleeding, and salivary fistula. Secondary outcomes were all-cause mortality, hospital admission, and emergency department visits within 30 days. Facial reanimation procedures were assessed at 180 days, and at 1, 3, and 5 years. Results: PSM yielded 1839 patients per group. ECD was associated with a significantly lower 30-day FN injury risk than SP (HR: 0.458; 95% CI: 0.273-0.768). No significant differences were observed for surgical site infection (HR: 0.674; 95% CI: 0.325-1.399), wound disruption (HR: 1.521; 95% CI: 0.541-4.273), postoperative bleeding (HR: 0.905; 95% CI: 0.471-1.742), salivary fistula (HR: 0.338; 95% CI: 0.068-1.676), all-cause mortality (HR: 1.014; 95% CI: 0.063-16.21), hospital admission (HR: 0.931; 95% CI: 0.684-1.267), or emergency department visits (HR: 1.259; 95% CI: 0.888-1.784). Facial reanimation rates were comparable at all time points. Conclusions: In this large, real-world cohort, ECD significantly reduced the early risk of FN injury compared with SP, without increasing other short-term complications or long-term facial reanimation rates. These findings support ECD as a favorable option for selected patients with benign superficial parotid tumors following shared decision-making.
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