{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T08:13:44Z","timestamp":1761293624020,"version":"3.37.3"},"reference-count":14,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,9,12]],"date-time":"2017-09-12T00:00:00Z","timestamp":1505174400000},"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":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Oral cancers associated with submucosal fibrosis\u2010induced trismus are common. They may affect the patients' quality of life, cause nutritional deficits, and interfere with postoperative cancer surveillance. In such cases, locating desirable recipient vessels in the head and neck can be difficult. This report presents a 47\u2010year\u2010old man with severe trismus caused by recurrent head and neck cancer, who had received multiple free\u2010flap reconstructions after cancer ablation. Reconstruction was successfully achieved for the bilateral defects and releasing the trismus by using simultaneous double free radial forearm flaps as a chained flow\u2010through pattern with one residual recipient vessel combined with the bilateral myotomy of the medial pterygoid and masseter muscles, and coronoidectomy. Both flaps survived without any postoperative complication. The maximal mouth opening measured by interincisal distance was 38 mm intraoperative and 32 mm during the 3\u2010year follow\u2010up period. This approach may be an effective option for releasing trismus when recipient vessels are lacking.<\/jats:p>","DOI":"10.1002\/micr.30221","type":"journal-article","created":{"date-parts":[[2017,9,12]],"date-time":"2017-09-12T08:36:38Z","timestamp":1505205398000},"page":"831-835","source":"Crossref","is-referenced-by-count":7,"title":["Simultaneous double free radial forearm flaps combined with coronoidectomy and myotomy to release bilateral severe trismus: A case report"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6164-8319","authenticated-orcid":false,"given":"Chieh","family":"Chou","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery Kaohsiung Medical University Hospital Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chien\u2010Chang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chung\u2010Sheng","family":"Lai","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery Kaohsiung Medical University Hospital Kaohsiung Taiwan"},{"name":"Faculty of Medicine, Center for Stem Cell Research, Orthopaedic Research Center College of Medicine, Kaohsiung Medical University Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sin\u2010Daw","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery Kaohsiung Medical University Hospital Kaohsiung Taiwan"},{"name":"Faculty of Medicine, Center for Stem Cell Research, Orthopaedic Research Center College of Medicine, Kaohsiung Medical University Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yur\u2010Ren","family":"Kuo","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery Kaohsiung Medical University Hospital Kaohsiung Taiwan"},{"name":"Faculty of Medicine, Center for Stem Cell Research, Orthopaedic Research Center College of Medicine, Kaohsiung Medical University Kaohsiung Taiwan"},{"name":"Department of Biological Sciences National Sun Yat\u2010Sen University Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/S0094-1298(20)31187-1","article-title":"Biology of chronic radiation effect on tissues and wound healing","volume":"20","author":"Bernstein E. 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