{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:09:42Z","timestamp":1791216582497,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,6,14]],"date-time":"2013-06-14T00:00:00Z","timestamp":1371168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Our objectives were to assess the evidence of preservation of the greater auricular nerve in parotidectomy with regard to morbidity and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a systematic review. Inclusion criteria were: English literature, prospective and retrospective studies. Exclusion criteria were: single case reports, \u201cteaching\u201d reviews. Outcome measures were: tactile sensation, pain, thermal sensitivity, and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Although quality of life does not seem to be adversely affected when the greater auricular nerve is sacrificed, preservation of the posterior branch was recommended in 8 studies. When preserving the nerve, the incremental operative time increase is no more than 10 to 5 minutes after a rapid learning curve.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is level Ib evidence that preservation of the greater auricular nerve minimizes the postoperative sensory disturbance and should be considered whenever tumor clearance is not compromised. There is no evidence that overall quality of life is affected when the greater auricular nerve is sacrificed. \u00a9 2013 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>36<\/jats:bold>: 603\u2013608, 2014<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.23292","type":"journal-article","created":{"date-parts":[[2013,6,14]],"date-time":"2013-06-14T08:30:25Z","timestamp":1371198625000},"page":"603-608","source":"Crossref","is-referenced-by-count":39,"title":["Preservation of greater auricular nerve during parotidectomy: Sensation, quality of life, and morbidity issues. A Systematic Review"],"prefix":"10.1002","volume":"36","author":[{"given":"Michael","family":"George","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head Neck Surgery Queen Alexandra Hospital Portsmouth United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petros D.","family":"Karkos","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head Neck Surgery Queen Alexandra Hospital Portsmouth United Kingdom"},{"name":"Department of Otolaryngology\u2013Head Neck Surgery Ahepa University Hospital Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghav C.","family":"Dwivedi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head Neck Surgery Queen Alexandra Hospital Portsmouth United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel C.","family":"Leong","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head Neck Surgery University Hospital Aintree Liverpool United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head Neck Surgery Queen Alexandra Hospital Portsmouth United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Costa","family":"Repanos","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head Neck Surgery Queen Alexandra Hospital Portsmouth United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199412000-00011"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181abb358"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.08.034"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2010.03.007"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20246"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.05.061"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2007.04064.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.6.642"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1272\/jnms.71.323"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(03)00068-0"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-5182(02)90290-8"},{"key":"e_1_2_6_13_1","first-page":"884","article-title":"Quality of life after great auricular nerve sacrifice during parotidectomy","volume":"127","author":"Patel N","year":"2001","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.10.1191"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100137892"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.1997.00030.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-4356(89)80003-8"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-4356(90)90084-X"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjom.2000.0466"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.23292","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.23292","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T14:28:22Z","timestamp":1696343302000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.23292"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,14]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.1002\/hed.23292"],"URL":"https:\/\/doi.org\/10.1002\/hed.23292","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,14]]}}}