{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:10:18Z","timestamp":1747149018327,"version":"3.40.5"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T00:00:00Z","timestamp":1706227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study compares early outcomes of osteofascial fibula free flap (OF\u2010FFF) with donor\u2010site primary closure and osteocutaneous (OC) FFF with donor\u2010site skin grafting in segmental mandibular reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review of FFF mandibular reconstruction patients (2006\u20132022) divided into OF\u2010FFF and OC\u2010FFF groups. Clinical data, operative parameters, and early postoperative outcomes (\u2264 90 days) were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 67 patients (39 OF\u2010FFF, 28 OC\u2010FFF). OF\u2010FFF had significantly lower donor\u2010site complications (12.8% vs. 53.6%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and revision surgeries (7.7% vs. 35.7%, <jats:italic>p<\/jats:italic>\u2009=\u20090.004) compared to OC\u2010FFF. Recipient\u2010site (28.2% vs. 25%, <jats:italic>p<\/jats:italic>\u2009=\u20090.77) and flap (15.4% vs. 17.9%, <jats:italic>p<\/jats:italic>\u2009&gt;\u20090.99) complications were comparable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>OF\u2010FFF mandibular reconstruction with donor\u2010site primary closure is a safe and reliable technique associated with superior donor\u2010site and comparable flap and recipient\u2010site outcomes to OC\u2010FFF, thus may be considered as a viable alternative to OC\u2010FFF for selected patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27661","type":"journal-article","created":{"date-parts":[[2024,1,27]],"date-time":"2024-01-27T04:10:05Z","timestamp":1706328605000},"page":"1168-1177","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early outcomes of osteofascial versus osteocutaneous fibula free flap mandibular 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