{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T15:24:50Z","timestamp":1790954690331,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["T32DC000022"],"award-info":[{"award-number":["T32DC000022"]}],"id":[{"id":"10.13039\/100000055","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":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Optimal contouring of osseous free flaps for mandibulectomy often requires osteotomies. The impact of malunion or nonunion on hardware extrusion is not well\u2010documented. This study assesses postoperative bony union, its correlation with plate extrusion, and related demographic and surgical predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study of 127 patients who underwent segmental mandibulectomy and osseous free tissue transfer from 2004 to 2019. Bony union was assessed via computed tomography (CT) scans at 6\u20139, 9\u201315, and 15\u201324\u2009months using a callus scale. Logistic regression analyzed the relationship between bony union, hardware extrusion, and various factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Radiographic nonunion rates at 6\u20139, 9\u201315, and 15\u201324\u2009months were 24.8%, 20.4%, and 13.2%, respectively. Nonunion at 9\u201315\u2009months (OR\u2009=\u20093.67) and 15\u201324\u2009months (OR\u2009=\u20091.80) significantly increased hardware extrusion risk. Lower bony union was linked to prior radiation, alcohol use, perioperative complications, and thinner plates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Bone union after oromandibular free\u2010flap reconstruction is affected by radiation, perioperative complications, and smoking. Fibular and scapular transfers had similar outcomes. Further long\u2010term studies are needed to enhance reconstruction techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.28214","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T05:09:59Z","timestamp":1750828199000},"page":"3058-3067","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Predictors and Implications of Bony Union of Osseous Free Flaps for Oromandibular Reconstruction"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1061-0561","authenticated-orcid":false,"given":"Amit","family":"Walia","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Washington University School of Medicine in St. Louis  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rami","family":"Eldaya","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology The University of Texas MD Anderson Cancer Center  Houston Texas USA"},{"name":"Neuroradiology Section Mallinckrodt Institute of Radiology  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary","family":"Orlowski","sequence":"additional","affiliation":[{"name":"Neuroradiology Section Mallinckrodt Institute of Radiology  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Bollig","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Rutgers Wood Johnson Medical School  New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8175-9486","authenticated-orcid":false,"given":"Jake J.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Washington University School of Medicine in St. Louis  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Alex","family":"Harbison","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Washington University School of Medicine in St. Louis  St Louis Missouri USA"},{"name":"Head and Neck Tumor Center at Siteman Cancer Center Washington University School of Medicine in St. Louis  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Zolkind","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Washington University School of Medicine in St. Louis  St Louis Missouri USA"},{"name":"Head and Neck Tumor Center at Siteman Cancer Center Washington University School of Medicine in St. Louis  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Washington University School of Medicine in St. 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