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We analyzed the incidence of facial nerve sacrifice during parotidectomy for metastatic cutaneous squamous cell carcinoma (CSCC). We retrospectively reviewed the charts of patients with cutaneous squamous cell carcinoma. We used our CSCC institutional database, which includes patients treated at the University of California-Davis from 2001 to 2018. We evaluated patients who presented with biopsy-proven head and neck CSCC who underwent parotidectomy as a part of surgical treatment. We assessed the frequency of facial nerve sacrifice requ