{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T06:01:02Z","timestamp":1781157662241,"version":"3.54.1"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Anatomy"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>In maxillofacial surgery, accessing the mandibular condyle is a contested topic. Whilst retro\u2010auricular approaches are considered to be protective of the facial nerve, the distance from dissection to nerve has not been verified. Dissection of 29 cadaveric head specimens was carried out using a retro\u2010auricular approach. Three measurements were made: (a) from nerve to the inferior edge of the cartilaginous external acoustic meatus, (b) thickness of tissue laterally between dissection and nerve, and (c) thickness of tissue vertically between inferior limit of dissection and nerve. Intra\u2010class correlation co\u2010efficient (ICC) was used to assess inter\u2010observer reliability. The mean distance from the external acoustic meatus was 14.28\u2009mm (ICC\u2009=\u20090.59). Inferior tissue thickness averaged 9.70\u2009mm (ICC\u2009=\u20090.42), and lateral tissue thickness averaged 7.17\u2009mm (ICC\u2009=\u20090.59). Inferior tissue thickness demonstrated the greatest inter\u2010specimen standard deviation (3.09\u2009mm) and lowest individual specimen measurements (0.99\u2009mm). The retro\u2010auricular approach remains safe for surgical access to the mandibular condyle. However, care should be taken of the inferior extent of the dissection once past the external acoustic meatus, particularly when supervising trainees.<\/jats:p>","DOI":"10.1002\/ca.70168","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T05:38:17Z","timestamp":1781156297000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Room for Leeway: Margin of Safety to Facial Nerve in Retro\u2010Auricular Trans\u2010Meatal Approaches to Mandibular Condyles"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1872-8804","authenticated-orcid":false,"given":"Sven Wilhelm","family":"Odelberg","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Addenbrooke's Hospital  Cambridge UK"},{"name":"Human Anatomy Centre, Department of Physiology, Development and Neuroscience University of Cambridge  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"O'Callaghan","sequence":"additional","affiliation":[{"name":"Human Anatomy Centre, Department of Physiology, Development and Neuroscience University of Cambridge  Cambridge UK"},{"name":"Gonville and Caius College, University of Cambridge  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas Thazumpal","family":"Mathew","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Addenbrooke's Hospital  Cambridge UK"},{"name":"Human Anatomy Centre, Department of Physiology, Development and Neuroscience University of Cambridge  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Brassett","sequence":"additional","affiliation":[{"name":"Human Anatomy Centre, Department of Physiology, Development and Neuroscience University of Cambridge  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay","family":"Santhanam","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Addenbrooke's Hospital  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12857"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2011.08.006"},{"issue":"2","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1097\/SCS.0b013e318207f495","article-title":"Retroauricular Transmeatal Approach to Manage Mandibular Condylar Head Fractures","volume":"22","author":"Benech A.","year":"2011","journal-title":"Journal of Craniofacial Surgery"},{"key":"e_1_2_9_5_1","first-page":"1560","article-title":"Eine neue Methode zur Freilegung der Kiefergelenke ohne sichtbare Narben und ohne Verletzung des Nervus facialis","volume":"47","author":"Bockenheimer P.","year":"1920","journal-title":"Zentralblatt f\u00fcr Chirurgie"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100034\u20101371772"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4236\/jgis.2020.123011"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.7518\/hxkq.2025.2025405"},{"key":"e_1_2_9_9_1","volume-title":"Fractures of the Mandibular Condyle: Basic Considerations and Treatment [Internet]","author":"Kleinheinz 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