{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T16:18:28Z","timestamp":1776442708512,"version":"3.51.2"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,3,16]],"date-time":"2015-03-16T00:00:00Z","timestamp":1426464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Mandibular reconstruction with a mandibular reconstruction plate (MRP) and free flap transfer can involve serious plate\u2010related complications. The aim of our study is to present our new \u201cno\u2010touch\u2010technique\u201d which keeps an MRP not contaminated to saliva during the entire operation for the reduction of plate\u2010related complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>Data were retrospectively collected on 29 patients who had undergone segmental mandibulectomy for head and neck tumor and mandibular reconstruction with an MRP and free flap transfer from 2004 to 2013; 12 patients were reconstructed with our no\u2010touch\u2010technique from 2010 to 2013 (no\u2010touch\u2010technique group), and 17 patients with the conventional technique from 2004 to 2009 (conventional group). A rectus abdominis musculocutaneous flap or anterolateral thigh flap was transferred in all patients. The rates of perioperative recipient site complications including total flap necrosis, partial flap necrosis, wound infection, fistula formation and wound dehiscence, and reoperation for complications were compared between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All flaps were successfully transferred although one venous thrombosis formation occurred in the conventional group. The rate of wound infection in the no\u2010touch\u2010technique group (8.3%) was significantly lower than that in the conventional group (47.1%) (<jats:italic>P<\/jats:italic>\u2009=\u20090.04). Additionally, the rate of fistula formation in the no\u2010touch\u2010technique group (8.3%) tended to be lower than that in the conventional group (29.4%) (<jats:italic>P<\/jats:italic>\u2009=\u20090.35).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of our study showed that our no\u2010touch\u2010technique may be a safe and effective procedure for the prevention of perioperative plate\u2010related complications for mandibular reconstruction with an MRP and free flap transfer. \u00a9 2015 Wiley Periodicals, Inc. 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