{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T16:38:48Z","timestamp":1760978328607},"reference-count":54,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2002,9,20]],"date-time":"2002-09-20T00:00:00Z","timestamp":1032480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2003,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background.<\/jats:title><jats:p>Low\u2010profile second\u2010generation THORP titanium plates combined with soft tissues free flaps (forearm or TRAM) can be used for oromandibular reconstruction in patients with SCC in advanced stage (stage III\u2013IV).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>To evaluate long\u2010term stability and possible complications of this reconstructive technique, we recorded, retrospectively, data of 25 patients with posterolateral oromandibular defects after tumor resection collected during a 5\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>All free flaps were successfully transferred, although eight patients were initially seen with delayed hardware\u2010related reconstructive complications: plate exposure in four patients and plate fracture in four patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions.<\/jats:title><jats:p>Nowadays, the state\u2010of\u2010the\u2010art treatment for mandibular defects is primary bone reconstruction with bone free flaps, but in selected cases (elderly patients, poor performance status, posterolateral oromandibular defects, soft tissue defects much more important than bone defects) the association with THORP plate\u2010soft tissue free flaps represents a good reconstructive choice. \u00a9 2002 Wiley Periodicals, Inc. 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