{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T05:02:15Z","timestamp":1739854935191,"version":"3.37.3"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"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":[[2025,3]]},"abstract":"<jats:sec><jats:title>Objectives\/Aim<\/jats:title><jats:p>Orbital floor reconstruction post cancer ablation is challenging especially when associated with extensive soft tissue defects. Due consideration is to be given to the possible toxicities of adjuvant radiotherapy as well. Free bone\u2010soft tissue flaps are ideally suited in such situations. However, a single flap may fall inadequate for large defects. Using two free flaps in combination increases operating time and donor site morbidities. Non\u2010vascularized bone grafts combined with large soft tissue flaps harbor the risk of bone resorption and osteo\u2010radio necrosis. Alloplastic implants can lead to exposure and infection. We conducted a study researching the outcome of non\u2010vascularized cortico\u2010cancellous iliac bone graft (NVCIBG) used in orbital floor reconstruction along with free anterolateral thigh (FALT) flap in subjects undergoing extensive surgical ablation and adjuvant radiotherapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Ten consecutive subjects who underwent maxillo\u2010mandibular resection with or without skin were included in the study. The parameters assessed were diplopia, ectropion, bone viability, and osteointegration. Subjects were assessed in the immediate post\u2010operative period, 1\u2009month after surgery, and after 1\u2009year of radiotherapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The size of iliac bone harvested ranged from 3 to 5.5\u2009cm (mean 4.8\u2009cm). Forty percent subjects complained of binocular diplopia in the initial post\u2010operative period which subsided subsequently. Thirty percent subjects developed ectropion all of whom required external skin reconstruction. None developed osteoradionecrosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>NVCIBG along with FALT flap is an excellent reconstructive option for orbital floor defects. It can withstand the toxicities of adjuvant radiotherapy and avoids the need for double free flap reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 135:1072\u20131077, 2025<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31834","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T09:35:38Z","timestamp":1728466538000},"page":"1072-1077","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Viability of Free Bone Graft in Combination With Free Tissue Transfer and Post\u2010Operative <scp>RT<\/scp> in Orbital Floor Reconstruction"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4179-9202","authenticated-orcid":false,"given":"Swagnik","family":"Chakrabarti","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgical Oncology Chandan Hospital  Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1066-3065","authenticated-orcid":false,"given":"Avadhut Tukaram","family":"Phad","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgical Oncology Chandan Hospital  Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chaitra","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgical Oncology Chandan Hospital  Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhishek","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgical Oncology Chandan Hospital  Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31820ebc19"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.129618"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000005032"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/froh.2022.980786"},{"issue":"5","key":"e_1_2_8_6_1","first-page":"795","article-title":"Nonvascularized iliac bone grafts for mandibular reconstruction\u2014requirements and limitations","volume":"25","author":"Handschel J","year":"2011","journal-title":"In Vivo (Brooklyn)"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489420972734"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/229255030401200302"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.2011.1329"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e31825aada1"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000244519.26368.4c"},{"key":"e_1_2_8_12_1","doi-asserted-by":"crossref","unstructured":"HospitalWG.Bone Scintigraphy\u2014an Update. Published online. 231\u2013232.1989.","DOI":"10.1016\/S0009-9260(89)80178-3"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318221dca4"},{"issue":"2","key":"e_1_2_8_14_1","first-page":"1","article-title":"Latissimus Dorsi flap for head and neck reconstruction","author":"Pipkorn P","year":"2008","journal-title":"Atlas Otolaryngol Head Neck Oper Surg"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2015.08.011"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27352"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-4769-4"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.31834","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T06:07:23Z","timestamp":1739772443000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.31834"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,9]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/lary.31834"],"URL":"https:\/\/doi.org\/10.1002\/lary.31834","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"type":"print","value":"0023-852X"},{"type":"electronic","value":"1531-4995"}],"subject":[],"published":{"date-parts":[[2024,10,9]]},"assertion":[{"value":"2023-12-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}