{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T08:56:18Z","timestamp":1790326578879,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100019266","name":"Korea Medical Device Development Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019266","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this meta\u2010analysis was to compare the surgical outcomes of head and neck reconstruction via free flap surgery, with neck vessels versus superficial temporal vessels as recipient vessels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The PubMed, Embase, and Scopus databases were systematically searched via the following keywords: (\u201csuperficial temporal\u201d OR \u201ctemporal\u201d) AND (\u201cfree flap\u201d OR \u201cfree tissue transfer\u201d) AND (\u201chead and neck\u201d OR \u201cface\u201d). The following data were extracted: first author, publication year, flap type, reconstruction region, concordant vein graft, recipient vessel, and postoperative complications, including thrombosis, partial necrosis, and flap failure. The recipient vessels were divided into two groups: the superficial temporal artery (STA)\/V group and the neck group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six hundred and thirty\u2010five studies that met the inclusion criteria were included and reviewed systematically for a meta\u2010analysis. Compared with the neck vessel group, the STA\/V vessel group had a significantly greater risk of flap failure (odds ratio: 2.18; 95% CI: 1.32\u20133.60; <jats:italic>p<\/jats:italic>\u2009=\u20090.002), with low heterogeneity (<jats:italic>p<\/jats:italic>\u2009=\u20090.84; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090%). However, there were no significant differences in the rates of thrombosis or partial necrosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compared with the use of neck vessels, the use of STA\/V vessels as recipient vessels for head and neck reconstruction could increase the risk of total flap necrosis. Considering these findings, surgeons should exercise caution when selecting the STV as the recipient site, and as some authors have suggested, proximal dissection may be necessary during surgery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.31255","type":"journal-article","created":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T12:34:14Z","timestamp":1730464454000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Postoperative Morbidity Outcomes Associated With Superficial Temporal Versus Cervical Vessels as Recipient Vessels in Head and Neck Reconstruction: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"44","author":[{"given":"Woo Shik","family":"Jeong","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, Asan Medical Center Ulsan University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0221-3347","authenticated-orcid":false,"given":"Woonhyeok","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Dongsan Medical Center Keimyung University College of Medicine  Daegu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0285982"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20874"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/2000656X.2011.582373"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2019.00157"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(86)90046-2"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1220859"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000287273.48145.bd"},{"key":"e_1_2_9_9_1","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions version 5.2.0","author":"Higgins J. 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R.","year":"1991","journal-title":"Ear, Nose, & Throat Journal"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2019.09.023"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2014.875"},{"key":"e_1_2_9_20_1","article-title":"Full\u2010Thickness Skin Graft Versus Split\u2010Thickness Skin Graft for Radial Forearm Free Flap Transfer in Oral Cavity Reconstruction: A Systematic Review and Meta\u2010Analysis","volume":"15","author":"Saleki M.","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22497"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e318172b91d"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2023.03.008"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2023.04.001"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22270"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.2.2.91"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-3401830"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31168"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2020.01529"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182198c55"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000160274.21680.6F"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.31255","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T09:41:11Z","timestamp":1731922871000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.31255"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":30,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1002\/micr.31255"],"URL":"https:\/\/doi.org\/10.1002\/micr.31255","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-06-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e31255"}}