{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T03:41:38Z","timestamp":1771472498373,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T00:00:00Z","timestamp":1727222400000},"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":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Vascularized bone grafting (VBG) is preferred for mandibular reconstruction post\u2010tumor ablation. Although various bone\u2010free flaps are used, their application is compromised by limitations including insufficient bone volume and poor shape. Here, we report mandibular reconstruction using axial split\u2010step osteotomy with an iliac crest\u2010free flap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Over December 2018\u2013November 2020, 12 patients underwent mandibular reconstruction via axial split osteotomy using a free iliac\u2010crest flap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The preoperative iliac\u2010crest length was 5.7\u20139.5\u2009mm (median, 7.5\u2009cm); the mean post\u2010axial split\u2010osteotomy iliac\u2010crest length increased to 9.59\u2009mm (range, 6.34\u201315.15\u2009mm). All patients presented with initial healing 2\u2009weeks postoperation; good bone healing was achieved in all grafted flaps by the third month of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We propose a new axial split\u2010step osteotomy technique using free iliac\u2010crest flaps for mandibular reconstruction. We demonstrated this novel technique's reliability for safe and effective bone lengthening and establishing a reliable occlusal relationship.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27941","type":"journal-article","created":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T08:14:24Z","timestamp":1727252064000},"page":"567-574","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Axial split step osteotomy of free iliac crest flaps for mandible reconstruction: Preliminary results"],"prefix":"10.1002","volume":"47","author":[{"given":"Shu","family":"Yi","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Peking University School and Hospital of Stomatology  Beijing China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases &amp; National Engineering Research Center of Oral Biomaterials and Digital Medical Devices  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoming","family":"Lyu","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Peking University School and Hospital of Stomatology  Beijing China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases &amp; National Engineering Research Center of Oral Biomaterials and Digital Medical Devices  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3001-1435","authenticated-orcid":false,"given":"Wei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Peking University School and Hospital of Stomatology  Beijing China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases &amp; National Engineering Research Center of Oral Biomaterials and Digital Medical Devices  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingwei","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Peking University School and Hospital of Stomatology  Beijing China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases &amp; National Engineering Research Center of Oral Biomaterials and Digital Medical Devices  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuming","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Peking University School and Hospital of Stomatology  Beijing China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases &amp; 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