{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T17:09:16Z","timestamp":1790356156720,"version":"4.1.0"},"reference-count":39,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2015,12,16]],"date-time":"2015-12-16T00:00:00Z","timestamp":1450224000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215115003394_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>This literature review analysed facial nerve management strategies in jugular paraganglioma surgery and discusses the tumour resection rate and the facial nerve outcome associated with each technique.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115003394_sec_a2\"><jats:title>Methods:<\/jats:title><jats:p>A retrospective review of PubMed and Medline articles on the surgical treatments for jugular paraganglioma was performed. Tumour resection rates and post-operative facial nerve function after non-rerouting, short anterior rerouting and long anterior rerouting approaches were evaluated for each article.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115003394_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>A total of 15 studies involving a total of 688 patients were included. Post-operative facial nerve function was similar after non-rerouting and short anterior rerouting approaches (<jats:italic>p<\/jats:italic>= 0.169); however, both of these techniques had significantly better post-operative facial nerve outcomes compared with long anterior rerouting (<jats:italic>p<\/jats:italic>&lt; 0.001 and<jats:italic>p<\/jats:italic>= 0.001, respectively). The total tumour removal rate was significantly higher for long anterior rerouting than with the non-rerouting approach (<jats:italic>p<\/jats:italic>= 0.016). There was no difference in total tumour removal rate between the long and short anterior rerouting approaches (<jats:italic>p<\/jats:italic>= 0.067) and between the short anterior rerouting and non-rerouting approaches (<jats:italic>p<\/jats:italic>= 0.867).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115003394_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>No strict guidelines for facial nerve management in jugular paraganglioma resection are available. Although long anterior rerouting provides the best tumour exposure along with a low morbidity rate, case-by-case selection of the surgical approach is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215115003394","type":"journal-article","created":{"date-parts":[[2015,12,16]],"date-time":"2015-12-16T09:44:39Z","timestamp":1450259079000},"page":"219-224","source":"Crossref","is-referenced-by-count":17,"title":["Facial nerve management in jugular paraganglioma surgery: a literature review"],"prefix":"10.1017","volume":"130","author":[{"given":"H","family":"Odat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S-H","family":"Shin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M 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