{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T12:41:00Z","timestamp":1781700060504,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,2,2]],"date-time":"2017-02-02T00:00:00Z","timestamp":1485993600000},"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":[[2017,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this study was to compare outcomes for segmental reconstruction of the mandible between patients who underwent reconstruction with a fibula flap (group 1), and those with an alternative osseous free flap in which the fibula flap was unsuitable either for defect reasons (group 2) or in which the fibula flap could not safely be harvested because of compromised leg vessels (group 3).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred fifty\u2010two patients who underwent osseous free flap reconstruction of a mandibular segmental defect between January 2008 and June 2014 were identified from operating records. Outcomes between groups was compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The flap success rate was 97% and the late recipient\u2010site complication rate was 19%. There was no difference in flap success or complication rates between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Bony reconstruction of the mandible can be achieved with no compromise in flap success even where preoperative vascular studies or the nature of the defect deem the fibula unsuitable. \u00a9 2017 Wiley Periodicals, Inc. Head Neck 39: 916\u2013920, 2017<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24709","type":"journal-article","created":{"date-parts":[[2017,2,2]],"date-time":"2017-02-02T16:26:32Z","timestamp":1486052792000},"page":"916-920","source":"Crossref","is-referenced-by-count":9,"title":["Tailored approach to oromandibular reconstruction in patients with compromised lower limb vessels"],"prefix":"10.1002","volume":"39","author":[{"given":"Conor P.","family":"Barry","sequence":"first","affiliation":[{"name":"Liverpool Head and Neck Cancer Unit Aintree University Hospital Liverpool United Kingdom"},{"name":"National Maxillofacial Unit St. James's Hospital Dublin Ireland"},{"name":"Dublin Dental University Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Brown","sequence":"additional","affiliation":[{"name":"Liverpool Head and Neck Cancer Unit Aintree University Hospital Liverpool United Kingdom"},{"name":"Department of Molecular and Clinical Cancer Medicine University of Liverpool Liverpool United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Hanlon","sequence":"additional","affiliation":[{"name":"Liverpool Head and Neck Cancer Unit Aintree University Hospital Liverpool United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Shaw","sequence":"additional","affiliation":[{"name":"Liverpool Head and Neck Cancer Unit Aintree University Hospital Liverpool United Kingdom"},{"name":"Department of Molecular and Clinical Cancer Medicine University of Liverpool Liverpool United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,2]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198907000-00014"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199910000-00011"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20491"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20705"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181d62aef"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20169"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000000906"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2010.05.002"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2010.05.003"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1006596"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199901000-00019"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-981501"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200111000-00018"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.124.1.46"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10343"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2013.824111"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-33017"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181b98b78"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181ef8c86"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(15)00310-1"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2009.09.013"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.4544"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.24709","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.24709","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T03:57:16Z","timestamp":1696391836000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.24709"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,2]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1002\/hed.24709"],"URL":"https:\/\/doi.org\/10.1002\/hed.24709","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,2]]}}}