{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T09:50:09Z","timestamp":1791625809122,"version":"4.3.4"},"reference-count":17,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"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":["Head &amp; Neck"],"published-print":{"date-parts":[[2026,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Temporal bone resection (TBR) may result in large defects and facial nerve sacrifice.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Retrospective review of adults undergoing TBR from 2008 to 2019.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n One hundred and forty patients were reviewed. The extent of TBR was lateral (\n n<\/jats:italic>\n \u2009=\u2009135), subtotal (\n n<\/jats:italic>\n \u2009=\u20092), and total (\n n<\/jats:italic>\n \u2009=\u20093). Defects were reconstructed with free flaps (\n n<\/jats:italic>\n \u2009=\u200972), regional flaps (\n n<\/jats:italic>\n \u2009=\u200945), and cervicofacial flaps (\n n<\/jats:italic>\n \u2009=\u200931). Complications included wound dehiscence (\n n<\/jats:italic>\n \u2009=\u200920), infection (\n n<\/jats:italic>\n \u2009=\u200915), hematoma (\n n<\/jats:italic>\n \u2009=\u20096), cerebrospinal fluid leak (\n n<\/jats:italic>\n \u2009=\u20092), and meningitis (\n n<\/jats:italic>\n \u2009=\u20091). Smoking history was associated with wound complications (OR\u2009=\u20091.23,\n p<\/jats:italic>\n \u2009=\u20090.03). Prior resection (OR\u2009=\u20092.34,\n p<\/jats:italic>\n \u2009=\u20090.03) and advanced T stage (OR\u2009=\u20091.38,\n p<\/jats:italic>\n \u2009=\u20090.04) were associated with free flap reconstruction. Forty\u2010seven patients underwent facial nerve sacrifice. Facial reanimation techniques included primary neurorrhaphy (\n n<\/jats:italic>\n \u2009=\u20092), interposition nerve grafting (\n n<\/jats:italic>\n \u2009=\u200928), masseteric (\n n<\/jats:italic>\n \u2009=\u20097), or hypoglossal (\n n<\/jats:italic>\n \u2009=\u20095) to nerve transfers, temporalis tendon transfer (\n n<\/jats:italic>\n \u2009=\u200921), ectropion repair (\n n<\/jats:italic>\n \u2009=\u200931), brow lift (\n n<\/jats:italic>\n \u2009=\u200921), and upper eyelid loading (\n n<\/jats:italic>\n \u2009=\u200940).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Advanced T stage and re\u2010resection are associated with free flap reconstruction after TBR.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/hed.70336","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T07:13:40Z","timestamp":1780557220000},"page":"3173-3179","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reconstruction and Facial Reanimation After Temporal Bone Resection: A Multi\u2010Institution Experience"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2373-8388","authenticated-orcid":false,"given":"John F.","family":"Ryan","sequence":"first","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2010Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen P.","family":"Hadford","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Microvascular Surgery Head and Neck Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason C.","family":"Nellis","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2010Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dane J.","family":"Genther","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Microvascular Surgery Head and Neck Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Fritz","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Microvascular Surgery Head and Neck Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Byrne","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Microvascular Surgery Head and Neck Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kofi D. O.","family":"Boahene","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2010Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaun C.","family":"Desai","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2010Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11060\u2010020\u201003445\u20104"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2012.08.009"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25717"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000715"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816634296"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.5.490"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100033\u20101358376"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004794"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010019\u201005627\u2010x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100035\u20101548551"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000641"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492\u2010200503000\u201000028"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-40618-3"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20744"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000001279"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.05.054"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2020.0292"}],"container-title":["Head & Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70336","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hed.70336","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T09:18:25Z","timestamp":1791623905000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.70336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,4]]},"references-count":17,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/hed.70336"],"URL":"https:\/\/doi.org\/10.1002\/hed.70336","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,4]]},"assertion":[{"value":"2025-01-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}