{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:08:10Z","timestamp":1782346090442,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,6,20]],"date-time":"2019-06-20T00:00:00Z","timestamp":1560988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to evaluate sensory dysfunction resulting from great auricular nerve (GAN) sacrifice versus preservation in parotid surgery for benign lesions and its imact on long\u2010term health\u2010related quality of life (QOL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting\/main outcome measures<\/jats:title><jats:p>Participants were divided into two groups (GAN and non\u2010GAN), and both short\u2010term (two postoperative weeks) and long\u2010term (at least 5\u00a0years) QOL were assessed. The second item of the Parotidectomy Outcome Inventory\u20108 (POI\u20108) was used to analyse postoperative sensory loss. All items of the POI\u20108 questionnaire were used to determine health\u2010related QOL.We used t test for dependent samples and Mann\u2010Whitney <jats:italic>U<\/jats:italic>\u2010test to compare patient groups<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>A total of 137 patients (65 male and 72 female) enrolled in this study. Average age at the time of surgery was 53\u00a0years (\u00b112.8).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The GAN preservation group had significantly better sensation than the GAN sacrifice in short term (2.8 vs 2.1; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.017). Both groups experienced improved sensation in the long term, and there was a trend towards better QOL in the GAN\u2010preservation group. However, the difference in sensation was not statistically significant (1.7 vs 1.3; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.145). Health\u2010related QOL also increased in the long term (compared to short term) for both groups (7.6\u00a0\u00b1\u00a06.2 to 12\u00a0\u00b1\u00a07.6; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001) postoperatively. GAN preservation did not significantly improve sensation in long term, nor did it increase health\u2010related QOL postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although GAN preservation was easily feasible, it only improved sensation in short term. We report a negative result: GAN preservation did not significantly improve sensation in long\u2010term, nor did it increase health\u2010related QOL postoperatively when compared to GAN sacrifice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13366","type":"journal-article","created":{"date-parts":[[2019,5,17]],"date-time":"2019-05-17T13:50:22Z","timestamp":1558101022000},"page":"743-748","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Long\u2010term quality of life and sensory impact of great auricular nerve preservation in parotid surgery as measured with the Parotidectomy Outcome Inventory\u20108"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6999-2074","authenticated-orcid":false,"given":"Olcay Cem","family":"Bulut","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology University of Heidelberg Heidelberg Germany"},{"name":"Department of Otorhinolaryngology SLK Kliniken Am Gesundbrunnen Heilbronn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Hohenberger","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University of Heidelberg Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dare","family":"Oladokun","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Leeds General Infirmary Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Odenwald","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University of Heidelberg Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Plinkert","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University of Heidelberg Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2537-0185","authenticated-orcid":false,"given":"Philippe A.","family":"Federspil","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University of Heidelberg Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-4356(89)80003-8"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215115001863"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23292"},{"issue":"1","key":"e_1_2_10_5_1","first-page":"S75","article-title":"The great auricular nerve: an anatomic and surgical study","volume":"41","author":"Murphy R","year":"2012","journal-title":"J Otolaryngol Head Neck 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