{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T10:08:25Z","timestamp":1789553305722,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"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>We compared the superficial circumflex iliac artery perforator (SCIP) flap with the radial forearm flap (RFF) to identify limitations restricting its widespread use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively evaluated unilateral tongue reconstruction using propensity score matching for age, sex, T stage, body mass index, and Charlson comorbidity index from a nonfunctional perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Matching 118 patients yielded 27 pairs. Flap survival was comparable. SCIP improved donor\u2010site aesthetics (92.6% vs. 40.7%), preserved strength (100.0% vs. 66.7%), and shortened hospitalization (10.9 vs. 11.9\u2009days). Overall recipient\u2010site and flap\u2010related complications were significantly higher (33.3% vs. 3.7%), driven by Grades I\u2013II events (25.9% vs. 0%). No individual complication category differed significantly. SCIP had a shorter pedicle, more tracheotomies, and greater superior thyroid artery use. Before matching, salvage failed in 5\/5 SCIP versus 2\/5 RFF cases, an exploratory finding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SCIP improves donor\u2010site outcomes, but more low\u2010grade complications and vessel considerations may limit widespread adoption.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70478","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T09:52:08Z","timestamp":1789552328000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Donor\u2010Site Outcomes of the Superficial Circumflex Iliac Artery Perforator Flap Versus Radial Forearm Flap in Unilateral Tongue Reconstruction: A Propensity Score Matching Analysis"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3001-1435","authenticated-orcid":false,"given":"Wang","family":"Wei","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Peking University School and Hospital of Stomatology  Beijing China"},{"name":"National Center of Stomatology &amp; National Clinical Research Center for Oral Diseases  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Xuantao","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Peking University School and Hospital of Stomatology  Beijing China"},{"name":"National Center of Stomatology &amp; National Clinical Research Center for Oral Diseases  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6313-4899","authenticated-orcid":false,"given":"Zhong","family":"Yiwei","sequence":"additional","affiliation":[{"name":"Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat\u2010Sen University  Guangzhou China"},{"name":"Guangdong Provincial Key Laboratory of Stomatology, Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyu","family":"Xiaoming","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Peking University School and Hospital of Stomatology  Beijing China"},{"name":"National Center of Stomatology &amp; National Clinical Research Center for Oral Diseases  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Jie","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Peking University School and Hospital of Stomatology  Beijing China"},{"name":"National Center of Stomatology &amp; National Clinical Research Center for Oral Diseases  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"issue":"1","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1097\/01.PRS.0000095948.03605.20","article-title":"Superficial Circumflex Iliac Artery Perforator Flap for Reconstruction of Limb Defects","volume":"113","author":"Koshima I.","year":"2004","journal-title":"Plastic and Reconstructive Surgery"},{"issue":"12","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1016\/j.bjps.2013.07.011","article-title":"The Superficial Circumflex Iliac Artery Perforator Flap in Intra\u2010Oral Reconstruction","volume":"66","author":"Green R.","year":"2013","journal-title":"Journal of Plastic, Reconstructive & Aesthetic Surgery"},{"issue":"4","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.oooo.2015.10.034","article-title":"Superficial Circumflex Iliac Artery Perforator Flap for Tongue Reconstruction","volume":"121","author":"Ma C.","year":"2016","journal-title":"Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology"},{"issue":"5","key":"e_1_2_10_5_1","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1111\/ans.18239","article-title":"Anterolateral Thigh, Radial Forearm and Superficial Circumflex Iliac Perforator Flaps in Oral Reconstruction: A Comparative Analysis","volume":"93","author":"Papanikolas M. J.","year":"2023","journal-title":"ANZ Journal of Surgery"},{"issue":"4","key":"e_1_2_10_6_1","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1007\/s00276-019-02402-9","article-title":"Vascularization of the Superficial Circumflex Iliac Perforator Flap (SCIP Flap): An Anatomical Study","volume":"42","author":"Gandolfi S.","year":"2020","journal-title":"Surgical and Radiologic Anatomy"},{"key":"e_1_2_10_7_1","doi-asserted-by":"crossref","first-page":"151624","DOI":"10.1016\/j.aanat.2020.151624","article-title":"The Anatomical Reliability of the Superficial Circumflex Iliac Artery Perforator (SCIP) Flap","volume":"234","author":"Zubler C.","year":"2021","journal-title":"Annals of Anatomy"},{"issue":"8","key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1055\/s-0040-1713666","article-title":"Superficial Circumflex Iliac Artery Perforator Flap as a Workhorse Flap: Systematic Review and Meta\u2010Analysis","volume":"36","author":"Altiparmak M.","year":"2020","journal-title":"Journal of Reconstructive Microsurgery"},{"issue":"6","key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.1002\/hed.27760","article-title":"Head and Neck Reconstruction With the Superficial Circumflex Iliac Artery Perforator (SCIP) Free Flap: Lessons Learned After 73 Cases","volume":"46","author":"Scaglioni M. F.","year":"2024","journal-title":"Head & Neck"},{"issue":"1","key":"e_1_2_10_10_1","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1186\/s12903-025-05734-8","article-title":"Reconstructing Defects Following Radical Parotidectomy Using Superficial Circumflex Iliac Perforator Flaps","volume":"25","author":"Wang W.","year":"2025","journal-title":"BMC Oral Health"},{"issue":"2","key":"e_1_2_10_11_1","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.ijom.2022.06.008","article-title":"Comparison Between the Radial Forearm and Superficial Circumflex Iliac Artery Perforator Free Flaps for Oral Soft Tissue Reconstruction","volume":"52","author":"Hurrell M. J. L.","year":"2023","journal-title":"International Journal of Oral and Maxillofacial Surgery"},{"key":"e_1_2_10_12_1","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.bjps.2024.01.032","article-title":"Identification of Optimal Flap Types for Color Matching in Free Flap\u2010Based Facial Reconstruction in Asian Population","volume":"90","author":"Moon J.","year":"2024","journal-title":"Journal of Plastic, Reconstructive & Aesthetic Surgery"},{"issue":"6","key":"e_1_2_10_13_1","first-page":"374","article-title":"Functional Results of Microvascular Reconstruction After Hemiglossectomy: Free Anterolateral Thigh Flap Versus Free Forearm Flap","volume":"33","author":"Tarsitano A.","year":"2013","journal-title":"Acta Otorhinolaryngologica Italica"},{"issue":"6","key":"e_1_2_10_14_1","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.oraloncology.2013.03.001","article-title":"Speech and Swallowing Following Tongue Cancer Surgery and Free Flap Reconstruction\u2014A Systematic Review","volume":"49","author":"Lam L.","year":"2013","journal-title":"Oral Oncology"},{"issue":"12","key":"e_1_2_10_15_1","doi-asserted-by":"crossref","first-page":"2157","DOI":"10.1016\/j.jcms.2018.10.006","article-title":"Free Radial Forearm Flap and Anterolateral Thigh Flap for Reconstruction of Hemiglossectomy Defects: A Comparison of Quality of Life","volume":"46","author":"Zhang P. P.","year":"2018","journal-title":"Journal of Cranio\u2010Maxillo\u2010Facial Surgery"},{"issue":"3","key":"e_1_2_10_16_1","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1080\/00273171.2011.568786","article-title":"An Introduction to Propensity Score Methods for Reducing the Effects of Confounding in Observational Studies","volume":"46","author":"Austin P. C.","year":"2011","journal-title":"Multivariate Behavioral Research"},{"issue":"3","key":"e_1_2_10_17_1","doi-asserted-by":"crossref","first-page":"e61","DOI":"10.1016\/j.bjps.2014.11.018","article-title":"Pedicle Elongation Technique of Superficial Circumflex Iliac Artery Perforator Flap","volume":"68","author":"Yoshimatsu H.","year":"2015","journal-title":"Journal of Plastic, Reconstructive & Aesthetic Surgery"},{"issue":"1","key":"e_1_2_10_18_1","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1186\/s12903-024-05073-0","article-title":"Superficial Circumflex Iliac Perforator Flaps for Maxilla Defects With Intraoral Anastomosis or Pedicle Elongation Techniques","volume":"24","author":"Wang W.","year":"2024","journal-title":"BMC Oral Health"},{"issue":"12","key":"e_1_2_10_19_1","doi-asserted-by":"crossref","first-page":"1809","DOI":"10.1007\/s00405-011-1548-4","article-title":"Reconstruction of Soft\u2010Tissue Defects of the Head and Neck: Radial Forearm Flap or Anterolateral Thigh Flap?","volume":"268","author":"Liu W. W.","year":"2011","journal-title":"European Archives of Oto\u2010Rhino\u2010Laryngology"},{"issue":"1","key":"e_1_2_10_20_1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1001\/archoto.2011.216","article-title":"Radial Forearm Free Flap Donor Site Morbidity: Ulnar\u2010Based Transposition Flap vs Split\u2010Thickness Skin Graft","volume":"138","author":"Jaquet Y.","year":"2012","journal-title":"Archives of Otolaryngology\u2014Head & Neck Surgery"},{"issue":"5","key":"e_1_2_10_21_1","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1097\/PRS.0000000000006790","article-title":"Prospective Comparison of Donor\u2010Site Morbidity Following Radial Forearm and Ulnar Artery Perforator Flap Harvest","volume":"145","author":"Chang E. 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H.","year":"2015","journal-title":"Plastic and Reconstructive Surgery"},{"issue":"5","key":"e_1_2_10_24_1","doi-asserted-by":"crossref","first-page":"269","DOI":"10.7181\/acfs.2020.00339","article-title":"Recipient Vessel Selection for Head and Neck Reconstruction: A 30\u2010Year Experience in a Single Institution","volume":"21","author":"Chung J. H.","year":"2020","journal-title":"Archives of Craniofacial Surgery"},{"issue":"2","key":"e_1_2_10_25_1","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1097\/PRS.0000000000004619","article-title":"Anatomical Understanding of Target Subcutaneous Tissue Layer for Thinning Procedures in Thoracodorsal Artery Perforator, Superficial Circumflex Iliac Artery Perforator, and Anterolateral Thigh Perforator Flaps","volume":"142","author":"Kim S. Y.","year":"2018","journal-title":"Plastic and Reconstructive Surgery"},{"issue":"1","key":"e_1_2_10_26_1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1055\/s-0039-1677789","article-title":"Free\u2010Flap Reconstruction of the Tongue","volume":"33","author":"Vincent A.","year":"2019","journal-title":"Seminars in Plastic Surgery"},{"issue":"4","key":"e_1_2_10_27_1","doi-asserted-by":"crossref","first-page":"394","DOI":"10.3390\/bioengineering12040394","article-title":"Evaluation of Patient Benefits From the Superficial Circumflex Iliac Artery Perforator Flap in Elderly Patients","volume":"12","author":"Luo H.","year":"2025","journal-title":"Bioengineering"},{"issue":"1","key":"e_1_2_10_28_1","doi-asserted-by":"crossref","first-page":"100005","DOI":"10.1016\/j.dtrs.2025.100005","article-title":"The Role of Artificial Intelligence in Shaping Dentistry Through Advancement in Data Acquisition, Clinical Practice, Education, and Research","volume":"1","author":"Tay F. R.","year":"2026","journal-title":"Dental Research"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70478","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hed.70478","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70478","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T09:52:12Z","timestamp":1789552332000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.70478"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":27,"alternative-id":["10.1002\/hed.70478"],"URL":"https:\/\/doi.org\/10.1002\/hed.70478","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"assertion":[{"value":"2026-02-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"hed.70478"}}