{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:46:24Z","timestamp":1792053984281,"version":"4.4.0"},"reference-count":27,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"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":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare operative metrics, postoperative complications, and radiographic osseous union among surgeon\u2010specific plates (SSPs), patient\u2010specific plates (PSPs), and conventional un\u2010bent plates (CPs) in microvascular mandibular reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective review was performed of 171 patients who underwent osseous mandibular free flap reconstruction from January 2020\u2013January 2025. Patients were stratified by plating technique: SSP (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200952), PSP with computer\u2010aided design\/manufacture (CAD\/CAM) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200958), and CP (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200961). Primary outcomes included operative time, hospital length of stay, and postoperative complications. Secondary outcomes included osteotomy characteristics, CT\u2010based radiographic osseous union, and time\u2010to\u2010Grade 2 union. Multivariate analysis evaluated factors associated with nonunion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline demographics, defect characteristics, and radiation exposure were comparable across cohorts. Secondary reconstruction procedures were more frequent in the SSP cohort compared with the PSP cohort (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.05), and SSPs were more commonly used in complete (angle to angle) mandibular reconstructions. Operative time, hospital length of stay, and ischemia time did not differ significantly by plating method. Postoperative complication rates were low and similar across groups, with no significant differences in infection, hematoma, or reoperation; however, low event rates may have limited power to detect small but clinically meaningful differences between cohorts. Radiographic nonunion was uncommon and did not differ by plating. Time\u2010to\u2010Grade 2 osseous union was similar across plating strategies. Multivariate analysis demonstrated a significant association between nonunion and postoperative complications. Inter\u2010rater reliability for union grading was high.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Microvascular mandibular reconstruction demonstrates comparable clinical and radiographic outcomes regardless of plate selection. Plate selection and CAD\/CAM use should be driven by surgeon choice and reconstructive complexity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70697","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T10:23:10Z","timestamp":1781864590000},"page":"4812-4818","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Mandible Reconstruction Using Surgeon\u2010Specific, Patient\u2010Specific, and Conventional Plates"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1143-1290","authenticated-orcid":false,"given":"Nina","family":"Patel","sequence":"first","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology \u2013 Head and Neck Surgery University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Autefeh","family":"Sajjadi","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology \u2013 Head and Neck Surgery University of California, San Francisco  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 \u2013 Head and Neck Surgery University of California, San Francisco  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 \u2013 Head and Neck Surgery University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chase","family":"Heaton","sequence":"additional","affiliation":[{"name":"Division of Oncologic Head and Neck Surgery, Department of Otolaryngology \u2013 Head and Neck Surgery University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4996-6362","authenticated-orcid":false,"given":"Mary Jue","family":"Xu","sequence":"additional","affiliation":[{"name":"Division of Oncologic Head and Neck Surgery, Department of Otolaryngology \u2013 Head and Neck Surgery University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8180-4542","authenticated-orcid":false,"given":"Katherine","family":"Wai","sequence":"additional","affiliation":[{"name":"Division of Oncologic Head and Neck Surgery, Department of Otolaryngology \u2013 Head and Neck Surgery University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilya","family":"Likhterov","sequence":"additional","affiliation":[{"name":"Division of Oncologic Head and Neck Surgery, Department of Otolaryngology \u2013 Head and Neck Surgery University of California, San Francisco  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 \u2013 Head and Neck Surgery University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13154295"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers17142371"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.20473\/jre.v10i1.70946"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010020\u201003607\u20108"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2025.107497"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.2005"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2015.04.014"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2473974X2110702"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/oral5030057"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.12.1302"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22471"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200208000-00010"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.3.295"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.7181\/acfs.2020.00745"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000003672"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100034\u20101371356"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2023.1132669"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000010911"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2024.06.166"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.830"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000007161"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2024.01.018"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29430"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12144661"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820931069"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000005024"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14235774"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70697","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70697","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70697","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:10:27Z","timestamp":1792051827000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70697"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":27,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/lary.70697"],"URL":"https:\/\/doi.org\/10.1002\/lary.70697","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"assertion":[{"value":"2026-02-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}