{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T02:18:09Z","timestamp":1788401889227,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Published survival rates for bone\u2010anchored craniofacial implants exceed 85%, but derive largely from mixed populations. Whether these apply to head and neck oncologic surgery remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective survival analysis of implants placed for prosthetic rehabilitation following extirpative surgery at a UK center (2005\u20132024).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Survival among 184 implants in 51 patients was 94%, 60% and 46% at 1, 3 and 5\u2009years (median 4.1\u2009years, 95% CI 3.0\u20136.3). 77% of patients received radiation therapy. Median dose to implant region was 57\u2009Gy. On univariate analysis, radiation, diabetes and older age predicted implant loss. On multivariable analysis, diabetes, present in three patients, predicted implant loss (HR 4.0, 95% CI 1.5\u201310.7), while radiation therapy trended towards implant loss. Annual hazard rates demonstrated continual attrition without plateau.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Five\u2010year survival in this oncologic cohort was half the published rate. Ongoing attrition supports supernumerary implant placement and lifelong management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70458","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T02:01:46Z","timestamp":1788400906000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bone\u2010Anchored Implant Survival in Oncologic Facial Prosthetic Rehabilitation"],"prefix":"10.1002","author":[{"given":"Oliver","family":"Blanshard","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Imperial College Healthcare NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Jones","sequence":"additional","affiliation":[{"name":"Head and Neck Prosthetics Imperial College Healthcare NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter M.","family":"Clarke","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Imperial College Healthcare NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5678-6370","authenticated-orcid":false,"given":"Jonathan M.","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Imperial College Healthcare NHS Trust  London UK"},{"name":"Department of Surgery and Cancer Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"issue":"4","key":"e_1_2_9_2_1","first-page":"304","article-title":"Osseointegrated Titanium Implants in the Temporal Bone. A Clinical Study on Bone\u2010Anchored Hearing Aids","volume":"2","author":"Tjellstr\u00f6m A.","year":"1981","journal-title":"American Journal of Otology"},{"issue":"7","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1001\/archopht.1991.01080070144054","article-title":"The Osseointegration Technique for the Rehabilitation of the Exenterated Orbit","volume":"109","author":"Nerad J. 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