{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T11:04:13Z","timestamp":1784372653592,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>It remains unclear whether a tubed fasciocutaneous or jejunal free flap (FCFF and JFF) is preferable for reconstruction of circumferential pharyngolaryngoesophageal defects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All consecutive patients with circumferential pharyngolaryngoesophageal defects reconstructed with an FCFF or JFF between 2000 and 2022 were included. Outcomes of interest were rates of fistulas, strictures, and donor\u2010site complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 112 patients were included (35 FCFFs and 77 JFFs). Fistula and stricture rates were significantly lower following JFF compared to FCFF reconstructions, with 12% versus 34% (<jats:italic>p<\/jats:italic>\u2009=\u20090.008) and 29% versus 49% (<jats:italic>p<\/jats:italic>\u2009=\u20090.04), respectively. Severe donor\u2010site complications leading to surgical intervention or ICU admittance only occurred after JFF reconstructions (18%, <jats:italic>p<\/jats:italic>\u2009=\u20090.007).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The high fistula and stricture rates in FCFF reconstructions and the rate of severe abdominal complications in JFF reconstructions illustrate inherent procedure\u2010specific advantages and disadvantages. Relative pros and cons should be carefully weighed when tailoring treatments to the individual needs of patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27667","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T12:28:17Z","timestamp":1706704097000},"page":"1351-1361","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Fasciocutaneous and jejunal free flaps for circumferential hypopharyngeal defect reconstruction: A 22\u2010year multicenter cohort study"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9430-4878","authenticated-orcid":false,"given":"Anthony M.","family":"Tonsbeek","sequence":"first","affiliation":[{"name":"Department of Plastic &amp; Reconstructive Surgery Erasmus MC Cancer Institute, University Medical Center Rotterdam  Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline A.","family":"Hundepool","sequence":"additional","affiliation":[{"name":"Department of Plastic &amp; Reconstructive Surgery Erasmus MC Cancer Institute, University Medical Center Rotterdam  Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merel M.","family":"Smit","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter S.","family":"Verduijn","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liron S.","family":"Duraku","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Hand Surgery, Amsterdam UMC  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aniel","family":"Sewnaik","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery Erasmus MC Cancer Institute, University Medical Center Rotterdam  Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bas P. L.","family":"Wijnhoven","sequence":"additional","affiliation":[{"name":"Department of Oncological and Gastro\u2010Intestinal Surgery Erasmus MC Cancer Institute, University Medical Center Rotterdam  Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6941-7734","authenticated-orcid":false,"given":"Marc A. 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