{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:11:48Z","timestamp":1784304708604,"version":"3.55.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"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":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early postoperative complications after microvascular mandibular reconstruction impact outcomes in patients with advanced oral cancer. This study evaluates three reconstruction techniques: vascularized bone graft (VBG), mandibular reconstruction plate (MRP) with a non\u2010osseous flap, and soft tissue flap (STF), using the Comprehensive Complication Index (CCI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective study of 101 patients, early postoperative complications (\u2264\u200930 days) were assessed using the CCI, calculated from Clavien\u2010Dindo classification grades. Differences among the three techniques were analyzed using multivariable linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>VBG was performed in younger, healthier patients. No significant differences in CCI were found among the three techniques. Multivariable analysis confirmed that non\u2010surgical factors, such as diabetes, had greater influence on complication risks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Appropriate patient selection minimizes early complication risks. VBG in younger patients and technical refinements in MRP may yield complication burdens comparable to STF.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      This study was registered in the UMIN Clinical Trials Registry as UMIN000056584 (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.umin.ac.jp\/ctr\">http:\/\/www.umin.ac.jp\/ctr<\/jats:ext-link>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70267","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T05:45:56Z","timestamp":1776404756000},"page":"65-75","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Complications in Mandibular Reconstruction: Analysis Using Comprehensive Complication Index"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6581-4791","authenticated-orcid":false,"given":"Takeaki","family":"Hidaka","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery National Cancer Center Hospital East Kashiwa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4367-6927","authenticated-orcid":false,"given":"Shimpei","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Graduate School of Medicine The University of Tokyo Hongo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Fukunaga","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Naruto Hospital Naruto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azusa","family":"Oshima","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery National Cancer Center Hospital East Kashiwa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Shinozaki","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery National Cancer Center Hospital East Kashiwa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuto","family":"Matsuura","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery National Cancer Center Hospital East Kashiwa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8153-1836","authenticated-orcid":false,"given":"Takuya","family":"Higashino","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery National Cancer Center Hospital East Kashiwa 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