{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T05:18:27Z","timestamp":1788326307861,"version":"build-2803163510"},"reference-count":15,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery & Aesthetic Medicine"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"\n Introduction:<\/jats:title>\n Facial paralysis secondary to skull base recurrences or facial nerve tumors presents a significant challenge, as tumor resection usually worsens facial function.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n The aim of this study is to show an alternative approach, ensuring facial reanimation irrespective of the evolution of the tumor, the so-called \u201ctake the facial nerve out of the picture.\u201d<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Retrospective study of patients with a skull base recurrence or a facial nerve tumor who underwent facial reanimation prior to tumor management. Facial function was assessed using the House\u2013Brackmann and Sunnybrook Facial Grading Scale.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Four patients with skull base recurrences and eight with facial nerve tumors underwent facial reanimation with nerve transfers (\n n<\/jats:italic>\n = 11) and a microvascular flap (\n n<\/jats:italic>\n = 1) before tumor treatment. In all cases, facial function improved to House\u2013Brackmann grades III or IV, with improvement of average Sunnybrook Facial Grading Scale scores from 25.25 (standard deviation [SD] 20.45) to 57.67 (SD 10.3) (\n p<\/jats:italic>\n = 0.004). Three patients with skull base recurrence underwent tumor resection uneventfully, while the eight patients with facial nerve tumor remain observed.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Early facial reanimation can preserve long-term facial function, facilitate tumor resection, and provide flexibility in managing complex skull base recurrences and facial nerve tumors.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/26893614251384974","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T08:24:15Z","timestamp":1759479855000},"page":"507-512","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cTake the Facial Nerve Out of the Picture\u201d: A Novel Approach for Skull Base Recurrences and Facial Nerve Tumors"],"prefix":"10.1177","volume":"28","author":[{"given":"Luis","family":"Lassaletta","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, La Paz University Hospital, Madrid, Spain."},{"name":"IdiPAZ Research Institute, La Paz University Hospital, Madrid, Spain."},{"name":"Biomedical Research Networking Centre on Rare Diseases (CIBERER-U761), Institute of Health Carlos III, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Gonz\u00e1lez-Otero","sequence":"additional","affiliation":[{"name":"IdiPAZ Research Institute, La Paz University Hospital, Madrid, Spain."},{"name":"Department of Maxillofacial Surgery, La Paz University Hospital, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Manuel","family":"Morales-Puebla","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, La Paz University Hospital, Madrid, Spain."},{"name":"IdiPAZ Research Institute, La Paz University Hospital, Madrid, Spain."},{"name":"Biomedical Research Networking Centre on Rare Diseases (CIBERER-U761), Institute of Health Carlos III, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio","family":"Pe\u00f1arrocha-Ter\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, La Paz University Hospital, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Mato-Patino","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, La Paz University Hospital, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Noguera-Tom\u00e1s","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, La Paz University Hospital, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Gavil\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, La Paz University Hospital, Madrid, Spain."},{"name":"IdiPAZ Research Institute, La Paz University Hospital, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"S\u00e1nchez-Cuadrado","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, La Paz University Hospital, Madrid, Spain."},{"name":"IdiPAZ Research Institute, La Paz University Hospital, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-025-03239-0"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2025.04.008"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200311000-00021"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/mao.0000000000002902"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27076"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0044-1786736"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-2301-3761"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2023.0229"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyx489"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1159\/000508025"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-023-08128-0"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-024-08693-y"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2018.12.004"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2021.03.003"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000001881"}],"container-title":["Facial 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