{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T23:44:24Z","timestamp":1792712664465,"version":"4.5.0"},"reference-count":44,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,5,29]],"date-time":"2021-05-29T00:00:00Z","timestamp":1622246400000},"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":["The Laryngoscope"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To determine immediate postoperative and long\u2010term facial nerve dysfunction after parotid cancer surgery, risk factors, and the role of facial reanimation surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Population\u2010based long\u2010term analysis for all new primary parotid carcinoma cases in Thuringia from 1996 to 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data of the cancer registries of Thuringia, a federal state in Germany, were analyzed in combination with hospital\u2010based data on facial function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>About 477 patients (42.3% women; median age: 68\u2009years) were included. It was observed that 6.7% had a preoperative facial nerve dysfunction, 11.7% received a radical parotidectomy, that is, that 5% had a normal preoperative facial function but needed radical surgery because of intraoperative detection of tumor infiltration into the facial nerve. About 10.2% received facial nerve reconstruction surgery. Immediate postoperative facial nerve dysfunction in the other patients was observed in 34.4% of the patients. Advanced T classification (odds ratio [OR]\u00a0=\u00a02.140; confidence interval [CI]\u00a0=\u00a01.268\u20133.611; <jats:italic>P<\/jats:italic>\u00a0=\u2009.004) and neck dissection (OR\u00a0=\u00a02.012; CI\u00a0=\u00a01.027\u20133.940; <jats:italic>P<\/jats:italic>\u00a0=\u2009.041) were independent risk factors for immediate postoperative facial nerve dysfunction. In addition, 22.0% showed no recovery during follow\u2010up. Advanced T classification (OR\u00a0=\u00a02.177; CI\u00a0=\u00a01.147\u20134.133; <jats:italic>P<\/jats:italic>\u00a0=\u2009.017) and postoperative radiotherapy (OR\u00a0=\u00a02.695; CI\u00a0=\u00a01.244\u20135.841; <jats:italic>P<\/jats:italic>\u00a0=\u2009.012) were independent risk factors for permanent postoperative facial nerve dysfunction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with primary parotid cancer are at high risk for long\u2010term facial nerve dysfunction. It seems that the possibilities of facial reanimation surgery needs to be utilized even more effectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 <jats:italic>Laryngoscope<\/jats:italic>, 131:2694\u20132700, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29666","type":"journal-article","created":{"date-parts":[[2021,6,4]],"date-time":"2021-06-04T11:20:53Z","timestamp":1622805653000},"page":"2694-2700","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Long\u2010Term Facial Nerve Outcome in Primary Parotid Cancer Surgery: A Population\u2010Based Analysis"],"prefix":"10.1002","volume":"131","author":[{"given":"Jovanna","family":"Thielker","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Jena University Hospital  Jena Germany"},{"name":"Facial Nerve Center Jena Jena University Hospital  Jena 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