{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:10:07Z","timestamp":1747149007381,"version":"3.40.5"},"reference-count":7,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:00:00Z","timestamp":1700438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRPG3L0861","CMRPG3J0593","CMRPG3M1101","CMRPG3M1102"],"award-info":[{"award-number":["CMRPG3L0861","CMRPG3J0593","CMRPG3M1101","CMRPG3M1102"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003711","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["MOST 110\u20102314\u2010B\u2010182\u2010045\u2010 MY3"],"award-info":[{"award-number":["MOST 110\u20102314\u2010B\u2010182\u2010045\u2010 MY3"]}],"id":[{"id":"10.13039\/501100003711","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>This study evaluates serial radiographic changes in the maxillary sinus of patients with oral cancer after an inferior maxillectomy and a soft tissue free flap reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifty\u2010six patients were evaluated between Oct 2005 and Mar 2017 from an institutional database. Preoperative and surveillance imaging was reviewed at set time\u2010points. Maxillary sinus scores were allotted based on a modification of the Lund\u2013MacKay staging system. Patients were evaluated for change in sinus score. A univariate (UV) and multivariate (MV) analysis was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 53.5% T3\/T4 category tumors and 68% received adjuvant treatment. Median follow\u2010up was 24.4\u2009months. Preoperative mean sinus score was 0.27\u2009\u00b1\u20090.44 and postoperative mean sinus score at 24\u2009months was 1.2\u2009\u00b1\u20091.3 (<jats:italic>p<\/jats:italic>\u2009=\u2009&lt;0.001). On UV analysis advanced T\u2010stage at 12\u2009months (OR 6.7, 95% CI 1.2\u201350.3, <jats:italic>p<\/jats:italic>\u2009=\u20090.01) and 24\u2009months (OR 5.2, 95% CI 1.03\u201336.8, <jats:italic>p<\/jats:italic>\u2009=\u20090.04) was associated with significantly higher sinus score. On MV analysis, advanced T\u2010stage continued to be associated with increased odds for higher sinus score (OR 4.9, 95% CI 1.1\u201326.8, <jats:italic>p<\/jats:italic>\u2009=\u20090.039).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A mild increase in postoperative sinus score is seen in this cohort of patients. Advanced T\u2010stage is associated with increased odds for higher sinus scores.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27575","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T11:42:23Z","timestamp":1700566943000},"page":"300-305","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Serial assessment and long\u2010term radiographic evaluation of the maxillary sinus after inferior maxillectomy and soft tissue free flap reconstruction in patients with oral cancer"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6583-7096","authenticated-orcid":false,"given":"Rushil Rajiv","family":"Dang","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital Chang Gung University and Medical College  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu\u2010Feng","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Chang Gung Memorial Hospital  Linkou Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3995-5894","authenticated-orcid":false,"given":"Chung\u2010Kang","family":"Tsao","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Chang Gung Memorial Hospital  Linkou Taiwan"},{"name":"College of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi\u2010Kuang","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Chang Gung Memorial Hospital  Linkou Taiwan"},{"name":"College of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun\u2010Ta","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Chang Gung Memorial Hospital  Linkou Taiwan"},{"name":"College of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching\u2010Han","family":"Chen","sequence":"additional","affiliation":[{"name":"College of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chung\u2010Jan","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Chang Gung Memorial Hospital  Linkou Taiwan"},{"name":"College of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3582-9938","authenticated-orcid":false,"given":"Shiang\u2010Fu","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Chang Gung Memorial Hospital  Linkou Taiwan"},{"name":"Graduate Institute of Clinical Medical Sciences, College of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","first-page":"7","article-title":"An overview of detection and screening of oral cancer in Taiwan","volume":"18","author":"Kao SY","year":"2015","journal-title":"Chin J Dent Res"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17020665"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29718"},{"issue":"184","key":"e_1_2_9_5_1","first-page":"183","article-title":"Staging in rhinosinusitus","volume":"31","author":"Lund VJ","year":"1993","journal-title":"Rhinology"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3180325b6c"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23849"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1198\/000313001300339897"}],"container-title":["Head &amp; 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