{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T05:06:35Z","timestamp":1793423195405,"version":"4.5.0"},"reference-count":48,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000245","name":"Michael Smith Health Research BC","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008002","name":"Vancouver Coastal Health Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004376","name":"Terry Fox Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004376","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":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Virtual surgical planning (VSP) with simple cutting templates could help surgeons preoperatively plan scapula reconstructions in the vertical and horizontal orientations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Virtually, eight defects were created in ten healthy mandibles and reconstructed with the subject\u2010specific scapula vertically and horizontally. In the clinical series, 15 single\u2010piece scapula mandible reconstructions planned with in\u2010house VSP and guided with simple templates were compared with 15 freehand reconstructions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Virtually, the vertical placement outperformed the horizontal placement in dice score (DSC) and Hausdorff\u201095 for all but one defect. Clinically, the VSP cohort had shorter operative time (386.6\u2009\u00b1\u2009111.6\u2009min vs. 268.9\u2009\u00b1\u200950.6\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), fewer tracheostomies (73% vs. 15%, p\u2009=\u20090.002), lower length of hospital stay (16.6\u2009\u00b1\u200913.5\u2009days vs. 12.2\u2009\u00b1\u20098.1\u2009days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.319), and higher complete\/partial union to a non\u2010significant degree (78% vs. 100%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.471).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A single\u2010piece scapula free flap is a versatile option for mandibular reconstruction. VSP has time and cost savings potential and quality of life impact that should be further investigated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.28063","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T05:30:01Z","timestamp":1737351001000},"page":"1584-1592","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Geometric Study and Clinical Case Series for Mandible Reconstruction With a Single\u2010Piece Scapular Free Flap"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4969-2824","authenticated-orcid":false,"given":"Khanh Linh","family":"Tran","sequence":"first","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery, Faculty of Medicine University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery, Faculty of Medicine University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Yang","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie Jae Young","family":"Kwon","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery, Faculty of Medicine University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farahna","family":"Sabiq","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Medicine University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidney","family":"Fels","sequence":"additional","affiliation":[{"name":"Department of Electrical and Computer Engineering, Faculty of Applied Science University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antony","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, Faculty of Applied Science University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James Scott","family":"Durham","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery, Faculty of Medicine University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7201-6181","authenticated-orcid":false,"given":"Eitan","family":"Prisman","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery, Faculty of Medicine University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534\u2010198907000\u201000014"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/S12663\u2010015\u20100766\u20105"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534\u2010199104000\u201000013"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.IJOM.2016.06.015"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/HED.26688"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.IJOM.2020.02.018"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002006"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.ORALONCOLOGY.2022.106058"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/S11548\u2010015\u20101193\u20102"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2016.10.004"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463\u2010018\u20100320\u20109"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29009"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/HED.26404"},{"key":"e_1_2_7_15_1","doi-asserted-by":"crossref","unstructured":"A. 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