{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T18:10:11Z","timestamp":1788718211395,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,6]],"date-time":"2022-11-06T00:00:00Z","timestamp":1667692800000},"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":["Head &amp; Neck"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Fibula free flaps (FFF) are often considered the first choice for mandibular reconstruction, but scapular system free flaps (SFF) have increased in popularity due to versatility, donor site advantages, and patient factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective chart review of patients undergoing mandibulectomy with FFF or SFF reconstruction from 2016 to 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hundred and seventy\u2010six patients (FFF <jats:italic>n<\/jats:italic>\u00a0=\u00a0145, SFF <jats:italic>n<\/jats:italic>\u00a0=\u00a031) underwent the aforementioned procedures. Mean FFF operative time was 9.47\u2009h versus 9.88 for SFF (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.40). Two\u2010flap reconstructions required 12.65\u2009h versus 10.09 for SFF with soft tissue (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.002). Donor site complications were identified in 65.6% of FFF with skin grafting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings suggest that SFF requires similar operative time and results in reduced donor site morbidity as compared to FFF. Supine, concurrent harvesting of SFF allows for single\u2010flap harvest with significantly shorter operative time. SFF could be considered a primary option for mandible reconstruction for complex defects and in select patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27235","type":"journal-article","created":{"date-parts":[[2022,11,7]],"date-time":"2022-11-07T04:50:16Z","timestamp":1667796616000},"page":"307-315","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Advantages of the scapular system in mandibular reconstruction"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9042-6608","authenticated-orcid":false,"given":"Gabrielle L.","family":"Wolter","sequence":"first","affiliation":[{"name":"College of Medicine Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian P.","family":"Swendseid","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery The Ohio State University Wexner Medical Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shruthi","family":"Sethuraman","sequence":"additional","affiliation":[{"name":"College of Medicine Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8563-7849","authenticated-orcid":false,"given":"Ryan","family":"Ivancic","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery The Ohio State University Wexner Medical Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodoros N.","family":"Teknos","sequence":"additional","affiliation":[{"name":"University Hospital Seidman Cancer Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9317-6536","authenticated-orcid":false,"given":"Catherine 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