{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T15:53:21Z","timestamp":1760889201692},"reference-count":13,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2016,6,1]],"date-time":"2016-06-01T00:00:00Z","timestamp":1464739200000},"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":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The need for and consequence of sacrificing the buccal branch of the facial nerve during parotidectomy is unknown. We sought to determine the indication, frequency, and functional outcome of buccal branch sacrifice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a prospective study of all cases of parotidectomy at a tertiary referral center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 100 consecutive cases of parotidectomy, the buccal branch was sacrificed in 23 cases. This subgroup was more likely to have anterior or deep lesions (<jats:italic>p<\/jats:italic> &lt; .001), retrograde facial nerve dissection (<jats:italic>p<\/jats:italic> = .037), and immediate postoperative upper and lower facial weakness (<jats:italic>p<\/jats:italic> = .051 and .002, respectively). However, if the temporozygomatic and cervicomandibular branches were anatomically preserved, full facial (including buccal) function was restored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Deep or anterior lesions may warrant sacrifice of the buccal branch for adequate access and excision. However, this does not result in long\u2010term impairment of facial function. \u00a9 2016 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>38:<\/jats:bold> 1821\u20131825, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24514","type":"journal-article","created":{"date-parts":[[2016,6,2]],"date-time":"2016-06-02T00:18:29Z","timestamp":1464826709000},"page":"1821-1825","source":"Crossref","is-referenced-by-count":9,"title":["Sacrificing the buccal branch of the facial nerve during parotidectomy"],"prefix":"10.1002","volume":"38","author":[{"given":"Muthuswamy","family":"Dhiwakar","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Kovai Medical Center and Hospital Coimbatore India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zubair A.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Kovai Medical Center and Hospital Coimbatore India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2014.05.001"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e318262d26d"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300202"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2007.04388.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.21082"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000147943.13052.62"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181ccdc78"},{"key":"e_1_2_6_9_1","first-page":"109","article-title":"The relationship of the parotid duct to the buccal and zygomatic branches of the facial nerve: an anatomical study with parameters of clinical interest","volume":"66","author":"Erbil KM","year":"2007","journal-title":"Folia Morphol (Warsz)"},{"key":"e_1_2_6_10_1","first-page":"385","article-title":"Surgical anatomy of the facial nerve and parotid gland based upon a study of 350 cervicofacial halves","volume":"102","author":"Davis RA","year":"1956","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2005.09.011"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200605000-00016"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197912000-00005"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2011.03.031"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.24514","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.24514","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.24514","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T10:57:50Z","timestamp":1696330670000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.24514"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6]]},"references-count":13,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.1002\/hed.24514"],"URL":"https:\/\/doi.org\/10.1002\/hed.24514","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6]]}}}