{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:40:28Z","timestamp":1787841628384,"version":"build-2784847793"},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"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":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective(s)<\/jats:title>\n                    <jats:p>Fibula free flaps and osteocutaneous radial forearm flaps (OCRFFFs) may be used to reconstruct complex head and neck defects following cancer ablation and trauma. This study aimed to compare the reconstructive outcomes of defects rehabilitated with fibula or OCRFFFs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective chart review completed over 20\u2009years of adult patients greater than 18\u2009years of age undergoing reconstruction of head and neck defects with fibula or OCRFFFs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Total patients: 52. Reconstruction type: 26\/52 (50%) fibula, 26\/52 (50%) OCRFFF. Mean surgical time: 697\u2009min fibula, 576\u2009min OCRFFF (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). Charlson Comorbidity Index: 4.6 fibula, 4.7 OCRFFF (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.43). There was no significant difference in flap survival rate. Survival rates of both fibula and OCRFFFs: 23\/26 (88%) survived, 2\/26 (8%) total loss, 1\/26 (4%) partial flap loss (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.99). There was no significant difference in post\u2010operative complications between flap types. Post\u2010operative complications: 10\/26 (38%) fibula, 9\/26 (35%) OCRFFF (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.99). There was no significant difference in post\u2010operative infection rate. Post\u2010operative infection rate: 7\/26 (27%) fibula, 7\/26 (27%) OCRFFF (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.99). There was no significant difference in post\u2010operative length of stay. Post\u2010operative length of stay: 11.6\u2009days fibula, 14.0\u2009days OCRFFF (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.26).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>OCRFFFs provide reconstruction of composite defects with significantly shorter operative times compared to fibula flaps. Post\u2010operative flap survival and complication rates were similar in both fibula and OCRFFF reconstructions. Although OCRFFFs may not undergo dental implantation as the bone stock is thin, the flap may optimally reconstruct composite defects in patients unable to undergo prolonged procedures.<\/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\/lio2.70516","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T08:02:26Z","timestamp":1785916946000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparing Fibula and Osteocutaneous Radial Forearm Free Flaps: A 20\u2010Year Retrospective Review"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5733-0870","authenticated-orcid":false,"given":"Erich A.","family":"Mildner","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Benjamin","family":"Gordon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle S.","family":"Hrabovsky","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel B.","family":"Craig","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth R.","family":"Feehs","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brianna R.","family":"Maniscalco","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory B.","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Data Science Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James D.","family":"Browne","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hafiz S.","family":"Patwa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua D.","family":"Waltonen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher A.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison A.","family":"Slijepcevic","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Wake Forest University School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20791"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12663\u2010015\u20100766\u20105"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2024.106925"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.12.1467"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.1615"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199704000-00014"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2023.103946"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2022.2440"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/01945998221083592"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2018.02.001"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1198\/000313001300339897"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144\u2010018\u20100018\u20101"}],"container-title":["Laryngoscope 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