{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:31:55Z","timestamp":1786386715203,"version":"build-2736575974"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T00:00:00Z","timestamp":1765065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T00:00:00Z","timestamp":1765065600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the effectiveness of intraoperative facial nerve monitoring (FNM) in reducing immediate and permanent postoperative facial nerve weakness after primary parotidectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed\u2010NCBI database, January 1970 to May 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>\n                      A systematic review and meta\u2010analysis were performed in accordance with PRISMA guidelines. Eligible studies compared primary parotidectomy performed with versus without FNM and reported outcomes as House\u2010Brackmann grade \u22652. Two reviewers independently extracted study characteristics and outcomes. Study quality was assessed with the Newcastle\u2010Ottawa Scale. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated; random\u2010effects models were used when heterogeneity (\n                      <jats:italic>I<\/jats:italic>\n                      \u00b2) exceeded 30%. Number needed to monitor (NNM) was calculated for significant endpoints.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ten studies (n\u2009=\u20091047; 568 FNM, 479 control) met inclusion criteria. FNM was associated with nearly halved odds of immediate postoperative weakness (OR\u2009=\u20090.49; 95% CI, 0.35\u20100.67;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.01;\n                      <jats:italic>I<\/jats:italic>\n                      \u00b2\u2009=\u200920.2%), corresponding to an NNM of 7. Permanent weakness was also associated with a significant reduction (OR\u2009=\u20090.49; 95% CI, 0.30\u20100.81;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.01;\n                      <jats:italic>I<\/jats:italic>\n                      \u00b2\u2009=\u200912.9%), with an NNM of 11. Included studies were of moderate\u2010to\u2010high quality (NOS 6\u20108\/9), though domain\u2010level biases, particularly lack of blinding and incomplete confounder adjustment, were common. No significant publication bias was detected.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Intraoperative FNM during primary parotidectomy was associated with reduced immediate and permanent postoperative dysfunction. These results, which extend beyond prior meta\u2010analyses limited to immediate outcomes, support routine adoption of FNM as an adjunct to optimize nerve preservation and reduce morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70083","type":"journal-article","created":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T16:59:37Z","timestamp":1765126777000},"page":"291-296","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["RETRACTED: Efficacy of Intraoperative Facial Nerve Monitoring in Parotidectomy: A Systematic Review and Meta\u2010Analysis (1970\u20102025)"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3832-023X","authenticated-orcid":false,"given":"Bryle Nicole","family":"Barrameda","sequence":"first","affiliation":[{"name":"School of Medicine University of California, Davis Sacramento California 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intraoperative facial nerve monitoring during parotidectomy: analysis of 113 consecutive cases","volume":"46","author":"Higashino M","year":"2024","journal-title":"Head Neck"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300202"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.03.010"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900100055008"},{"issue":"6","key":"e_1_2_8_7_1","first-page":"698","article-title":"Facial nerve monitoring in primary parotidectomy: outcomes analysis from a single\u2010institution experience","volume":"84","author":"Graciano AJ","year":"2018","journal-title":"Braz J Otorhinolaryngol"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-6519(01)78229-5"},{"key":"e_1_2_8_9_1","volume-title":"The 2011 Oxford CEBM Levels of Evidence","author":"Howick 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