{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:03:53Z","timestamp":1783523033950,"version":"3.55.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"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":["The Laryngoscope"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n Long\u2010term aesthetic outcomes following head and neck (HNC) microvascular free flap reconstruction are poorly understood. As patient survival improves for HNC, it is critical to understand the impact of surgical treatment upon aesthetic outcomes over the patient's life course.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Four hundred and fifty\u2010six web\u2010based surveys were prospectively collected at a tertiary care center (June 2018\u2013July 2024). Three FACE\u2010Q scales were used to evaluate patient\u2010reported outcomes: Satisfaction with Facial Appearance, Appearance\u2010Related Psychosocial Distress, and Social Function scales. A retrospective chart review was conducted to collect demographic and comorbidity data.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Two hundred and forty\u2010seven subjects (age: 64.65\u2009\u00b1\u200914.46) were divided into 3 cancer subsite groups: oral cavity (\n n<\/jats:italic>\n \u2009=\u2009146), cutaneous (\n n<\/jats:italic>\n \u2009=\u200942), and other (\n n<\/jats:italic>\n \u2009=\u200959). FACE\u2010Q scores remained largely stable across postoperative time points, with no statistically significant difference between time intervals across subsites. Significant differences were found across subsites for facial satisfaction (\n p<\/jats:italic>\n \u2009=\u20090.010): cutaneous, 30.1\u2009\u00b1\u20098.5, oral cavity, 27.5\u2009\u00b1\u20098.8, and other subsites, 25.7\u2009\u00b1\u20099.0; social function (\n p<\/jats:italic>\n \u2009<\u20090.001): cutaneous 25.5\u2009\u00b1\u20096.1, oral cavity 21.6\u2009\u00b1\u20097.1, and other subsite 20.9\u2009\u00b1\u20096.9; and stress (\n p<\/jats:italic>\n \u2009=\u20090.001): cutaneous, 13.6\u2009\u00b1\u20096.0, oral cavity, 16.3\u2009\u00b1\u20097.4, and other subsites, 17.7\u2009\u00b1\u20097.3.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The findings suggest that patients who undergo head and neck microvascular reconstruction may be more resilient to aesthetic outcomes than previously anticipated, as they return to pre\u2010operative baselines. Findings also reveal that reconstructive site is significantly related to postoperative aesthetic satisfaction.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n 4.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.70023","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T11:25:21Z","timestamp":1758799521000},"page":"190-196","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Longitudinal Assessment of Patient Satisfaction Following Head and Neck Free Flap Reconstruction"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7919-5757","authenticated-orcid":false,"given":"Reta","family":"Behnam\u2010Hanona","sequence":"first","affiliation":[{"name":"School of Medicine University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1143-1290","authenticated-orcid":false,"given":"Nina","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\/Head and Neck Surgery University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John W.","family":"Boscardin","sequence":"additional","affiliation":[{"name":"Department of Medicine and Epidemiology & Biostatistics University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohith M.","family":"Bhethanabotla","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\/Head and Neck Surgery University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aarti","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\/Head and Neck Surgery University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Park","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\/Head and Neck Surgery University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2775-530X","authenticated-orcid":false,"given":"Rahul","family":"Seth","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\/Head and Neck Surgery University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8986-5961","authenticated-orcid":false,"given":"P. Daniel","family":"Knott","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\/Head and Neck Surgery University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11912\u2010014\u20100422\u20100"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2009.11.001"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599819837621"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/medsci11020042"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2018.07.001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1098\/rstb.2009.0142"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2011.12.021"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2021.1563"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29548"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010014\u20102312\u20102"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10174"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103999(89)90005\u20106"},{"key":"e_1_2_9_14_1","unstructured":"A.Klassen A.Pusic andS.Cano \u201cFACE\u2010Q Aesthetics A Guide for Researchers and Clinicians Version 1.0. Accessed March 1 2025 \u201d (2025) https:\/\/qportfolio.org\/wp\u2010content\/uploads\/2018\/08\/FACE\u2010Q\u2010AESTHETICS\u2010USER\u2010GUIDE.pdf."},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070\u2010021\u201002606\u20109"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463\u2010017\u20100234\u2010y"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00403\u2010019\u201001957\u20102"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.124.9.964"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10106"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70023","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70023","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T15:19:53Z","timestamp":1771427993000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,25]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/lary.70023"],"URL":"https:\/\/doi.org\/10.1002\/lary.70023","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,25]]},"assertion":[{"value":"2025-05-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}