{
  "abstract": "Objective\n\nAdvanced malignant tumours of the parotid gland often extend to the skull base and adjacent soft tissues. Conventional extended parotidectomy has shown limitations in achieving radical margins. Temporo-parotid resection (TPR) was developed to ensure oncological continuity of the specimen in an en bloc fashion and to achieve reliable surgical margins. A detailed description of the surgical technique has not been reported in the literature to date and is the aim of the present work.Methods\n\nThirty-four patients with malignant parotid tumours were treated with TPR between 2019 and 2025. The surgical technique is detailed step-by-step herein. The procedure begins with a combined cervico-parotid incision, followed by total parotidectomy with preservation or sacrifice of the facial nerve according to tumour involvement. A selective or modified radical neck dissection is carried out en bloc. Temporal bone resection is then performed according to 3 reproducible osteotomy patterns: type 1 (partial tympano-mastoidectomy running lateral to fallopian canal); type 2 (partial mastoidectomy, radical tympanectomy medial to fallopian canal and lateral to the labyrinth); type 3 (radical tympano-mastoidectomy, medial to fallopian canal and variably extending to the spheno-temporal bone, labyrinth, jugular fossa, carotid canal). The parotid, neck and temporal bone components are removed in continuity, without specimen disruption, thereby ensuring accurate deep margin assessment.Results\n\nTPR type 1 was performed in 10 cases (29.4%), type 2 in 20 cases (58.8%), and type 3 in 4 cases (11.8%). Outcome analysis was beyond the scope of the present study and will be reported separately.Conclusions\n\nTPR provides a reproducible en bloc approach to parotid malignancies with skull base extension, optimises oncological radicality, facilitates processing and assessment of surgical specimens, and enables standardisation of bone resections.",
  "abstract_shown": true,
  "affiliations": [
    "Section of Otorhinolaryngology - Head and Neck Surgery, Department of Neuroscience, University of Padua, Padua, Italy.",
    "Unit of Otorhinolaryngology - Head and Neck Surgery, Azienda Ospedale-Università Padova, Padua, Italy."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Elisabetta Zanoletti"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Antonio Daloiso"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Diego Cazzador"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Piero Nicolai"
    },
    {
      "affs": [
        1
      ],
      "name": "Antonio Mazzoni"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7y3pq3pwbem0n.bib",
  "cited_by": 0,
  "doi": "10.14639/0392-100x-a2141",
  "fulltext_url": "https://europepmc.org/articles/PMC13726676",
  "id": "7y3pq3pwbem0n",
  "issns": [
    "0392-100X",
    "1827-675X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42969781",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Skull Base Surgery"
    ],
    [
      "openalex",
      "2746|Salivary Gland Tumors Diagnosis and Treatment"
    ]
  ],
  "openalex": "W7225126344",
  "pdf_url": "https://europepmc.org/articles/PMC13726676?pdf=render",
  "pmcid": "PMC13726676",
  "pmid": "42969781",
  "published": "2026-10-01",
  "publisher": "Pacini Editore",
  "ris": "https://research.draconitic.com/paper/7y3pq3pwbem0n.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T15:20:53Z",
      "native_id": "MED:42969781",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42969781"
    },
    {
      "first_seen": "2026-11-05T12:22:58Z",
      "native_id": "PMC13726676",
      "source": "pmc",
      "url": "https://doi.org/10.14639/0392-100x-a2141"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Salivary Gland Tumors Diagnosis and Treatment",
      "subfield": "surgery"
    }
  ],
  "title": "En bloc temporo-parotid resection for malignant tumours of the parotid: surgical technique.",
  "title_text": "En bloc temporo-parotid resection for malignant tumours of the parotid: surgical technique.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:22:34Z",
  "url": "https://research.draconitic.com/paper/7y3pq3pwbem0n",
  "venue": "Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale",
  "versions": []
}