{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T11:23:44Z","timestamp":1783164224489,"version":"3.54.6"},"reference-count":22,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The radial forearm free flap (RFFF) has been a mainstay in head and neck reconstruction due to its reliability and pliability, but it carries notable donor\u2010site morbidity. The super\u2010thin anterolateral thigh free flap (ST\u2010ALTFF) has recently emerged as a versatile alternative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective chart review was performed including patients who underwent free flap reconstruction with either ST\u2010ALTFF or RFFF following oral cavity squamous cell carcinoma resection. Demographic and peri\u2010operative variables were collected, and statistical analysis was performed using the\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test, Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      test, and Fisher exact probability test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010one patients underwent ST\u2010ALTFF and twenty\u2010two underwent RFFF reconstruction. Patients receiving RFFF were more likely to be female (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200916,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and have higher mean BMI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048). Operative time was shorter with ST\u2010ALTFF versus RFFF (509 vs. 594\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.011). Other patient variables, complications, gastrostomy tube placement, and post\u2010operative pain were similar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ST\u2010ALTFF represents a viable reconstructive option with promising peri\u2010operative outcomes compared to RFFF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70223","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T18:07:48Z","timestamp":1772993268000},"page":"2003-2008","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparative Analysis of Super\u2010Thin Anterolateral Thigh and Radial Forearm Free Flap Reconstruction for Oral Cavity Defects"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3428-7620","authenticated-orcid":false,"given":"Paul F.","family":"Chisolm","sequence":"first","affiliation":[{"name":"MedStar Georgetown University Hospital Department of Otolaryngology \u2013 Head &amp; Neck Surgery  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel D.","family":"Swanson","sequence":"additional","affiliation":[{"name":"MedStar Georgetown University Hospital Department of Otolaryngology \u2013 Head &amp; Neck Surgery  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagar","family":"Vasandani","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1641-9350","authenticated-orcid":false,"given":"Ibrahim M.","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8505-1996","authenticated-orcid":false,"given":"Emily A.","family":"Clementi","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan P.","family":"Giurintano","sequence":"additional","affiliation":[{"name":"MedStar Georgetown University Hospital Department of Otolaryngology \u2013 Head &amp; Neck Surgery  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.5037\/jomr.2010.1301"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.7.813"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2022.106214"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100042\u20101748663"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100037\u20101601422"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2021.09.051"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.31115"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30681"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31836"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.70166"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21388"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010011\u20101584\u20108"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2019.00053"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.21873\/invivo.11325"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31812e017a"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.1193"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102392"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.6233"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.03.022"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2021.748799"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpra.2024.06.006"}],"container-title":["Head &amp; 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