{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:27:20Z","timestamp":1761179240617,"version":"build-2065373602"},"reference-count":51,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T00:00:00Z","timestamp":1737763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Standardized surgical approaches to advanced pre\u2010auricular cutaneous squamous cell carcinomas (cSCC) are lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty\u2013four patients who underwent lateral temporal bone resection (LTBR) for pre\u2010auricular cSCC were grouped into \u201cLevels\u201d of increasing disease spread. Surgical approaches to achieve negative\u2010margin resection were designed for each Level and replicated on cadaveric specimens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Level 1 extended to the external auditory canal, requiring LTBR \u00b1 superficial parotidectomy. Level 2 involved the retromandibular space \u00b1 temporomandibular joint, necessitating partial mandibulectomy, in addition to the above. Level 3 and 4 involved the deep parotid, being situated either away from (&gt;\u20095\u2009mm) or close (\u2264\u20095\u2009mm) to the anterior carotid sheath (ACS), respectively. These tumors require radical parotidectomy, with incorporation of the ACS for Level 4. Level 5 involved the ACS at the skull base and should be treated non\u2010surgically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This Level\u2010based system will hopefully lead to further prospective studies and improvements in outcomes for advanced pre\u2010auricular cSCC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.28073","type":"journal-article","created":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T03:20:53Z","timestamp":1737775253000},"page":"1736-1748","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Approaches to Pre\u2010Auricular Cutaneous Squamous Cell Carcinomas Extending to the Temporal Bone"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1111-3946","authenticated-orcid":false,"given":"Michael","family":"Schachtel","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Princess Alexandra Hospital, Queensland Skull Base Unit  Brisbane Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitesh","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of Radiology Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Queensland X\u2010Ray  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Bowman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Princess Alexandra Hospital, Queensland Skull Base Unit  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Midwinter","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedict","family":"Panizza","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Princess Alexandra Hospital, Queensland Skull Base Unit  Brisbane Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27185"},{"key":"e_1_2_10_3_1","first-page":"54","article-title":"Lateral Temporal Bone Resection in Advanced Cutaneous Squamous Cell Carcinoma: Report of 35 Patients","volume":"74","author":"Essig G. 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