{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T06:52:01Z","timestamp":1773211921076,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"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":["Microsurgery"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Segmental mandibular reconstruction with osteocutaneous fibular free flaps commonly employs end\u2010to\u2010end (E\u2010T\u2010E) wedge osteotomies. However, excessive osteotomies or limited fibular length can compromise vascularity, bony union, available pedicle length. This study evaluates the outcomes of a modified end\u2010to\u2010side (E\u2010T\u2010S) fibular strut configuration in mandibular reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 11 patients who underwent mandibular reconstruction using fibular free flaps with at least one E\u2010T\u2010S osteotomy between 2017 and 2021. Bony union was assessed radiographically \u2265\u200912\u2009months postoperatively and categorized as complete (CBU) or incomplete bony union (IBU). Complication rates were also analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 33 junctions, 11 were reconstructed using the modified E\u2010T\u2010S approach. Of these, 7 achieved complete bony union. In the remaining 22 junctions reconstructed with E\u2010T\u2010E osteotomies, 15 achieved complete bony union.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Descriptively, the union rates observed in modified E\u2010T\u2010S osteotomies were similar to those seen in conventional E\u2010T\u2010E reconstructions. It offers a viable alternative in complex reconstructions where pedicle length, anatomy, or perfusion constraints preclude standard approaches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/micr.70157","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:38:00Z","timestamp":1765877880000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcome Analysis of Modified End\u2010to\u2010Side Bony Strut Placement for Osteo\u2010Cutaneous Fibular Free Flap Reconstruction of Segmental Mandibular Defects"],"prefix":"10.1002","volume":"45","author":[{"given":"Sam El","family":"Abbadi","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Chang Gung Memorial Hospital and Chang\u2010Gung University  Linkou Taiwan"},{"name":"Department of Plastic, Reconstructive, Aesthetic and Hand Surgery Kassel Hospital  Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6583-7096","authenticated-orcid":false,"given":"Rushil R.","family":"Dang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Chang Gung Memorial Hospital and Chang\u2010Gung University  Linkou Taiwan"},{"name":"Division of Oral and Maxillofacial Surgery Henry Ford Hospital  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9259-9836","authenticated-orcid":false,"given":"Ellen M.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Chang Gung Memorial Hospital  Linkou Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Pindur","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Chang Gung Memorial Hospital and Chang\u2010Gung University  Linkou Taiwan"},{"name":"Department of Plastic, Hand and Microsurgery Diakovere Friederikenstift Hospital  Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3995-5894","authenticated-orcid":false,"given":"Chung\u2010Kan","family":"Tsao","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstruction Surgery Chang Gung Memorial Hospital  Linkou Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30520"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000475796.61855.a7"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14061953"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(16)30003-1"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1667364"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199901)21:1<66::AID-HED9>3.0.CO;2-Z"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2015.11.009"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2021.05.015"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(10)60120-5"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102436"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol29050274"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.2334\/josnusd.46.113"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2019.01.029"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515573271"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820931069"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1991.01870190045010"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20791"},{"issue":"2","key":"e_1_2_12_19_1","first-page":"459","article-title":"Three\u2010Step Approach to the Harvest of the Fibula Osteoseptocutaneous Flap","volume":"69","author":"Wong C. 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