{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T20:33:39Z","timestamp":1770842019065,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T00:00:00Z","timestamp":1674000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Bone resorption of more conventional vascularized bone grafts have been well described showing minimal resorption over time. Few studies have evaluated osseous union and bone resorption in scapula tip free flaps (STFF) in the reconstruction of mandibulectomy defects. We aimed to describe our series on STFF with respect to osseous union and bone resorption over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective chart review of patients receiving STFF from January 2014\u2013January 2017 (<jats:italic>n<\/jats:italic>\u00a0=\u00a025). A neuroradiologist analyzed follow\u2010up CT scans to assess (1) STFF complete, partial, or no osseous union with native mandible and (2) STFF volume change over time in a subset with multiple follow\u2010up scans (<jats:italic>n<\/jats:italic>\u00a0=\u00a018).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010three of 25 patients (92%) showed complete or partial STFF osseous union with native mandible either distally or proximally. STFF volume change ranged from +4.8 to \u221254% (median \u22120.5%) over median follow\u2010up interval of 23\u2009months. History of chemoradiation therapy, bisphophonate use, sex, age, or smoking history did not correlate with bone resorption.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>STFFs shows high rates of osseous union and limited bone resorption that is equivalent to, or less than, vascularized fibular and iliac crest flaps. Clinically, this translates into both optimal healing and\u00a0functional and cosmetic outcomes, especially\u00a0in the setting of prior therapies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 133:2597\u20132602, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30574","type":"journal-article","created":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T10:50:01Z","timestamp":1674039001000},"page":"2597-2602","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Osseointegration and Bone Resorption of Scapula Tip Free Flaps in Mandibular Reconstruction"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8931-8581","authenticated-orcid":false,"given":"Blair M.","family":"Barton","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Ochsner Medical Center  New Orleans Louisiana 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Y.","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Radiology University of North Carolina\u2014Chapel Hill  Chapel Hill North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1575-4043","authenticated-orcid":false,"given":"Samip N.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Mayo Clinic  Jacksonville Florida 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