{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:27:54Z","timestamp":1786991274156,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"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":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pediatric mandibular reconstruction is challenging due to the need to restore mandibular continuity, temporomandibular joint (TMJ) function, and long\u2010term craniofacial growth. Conventional osseous free flaps may not adequately reproduce the ramus\u2013condyle unit or provide a growth\u2010capable cartilaginous component. The serratus anterior\u2010rib composite flap offers vascularized bone and costochondral tissue but remains rarely used in children. We presented a 12\u2010year\u2010old pediatric patient with rhabdomyosarcoma who underwent en bloc resection including hemimandibulectomy and maxillectomy. Reconstruction was achieved using a free composite multi\u2010segment osteotomized serratus anterior chondroosteomusculocutaneous flap incorporating the vascularized 6th rib, its costochondral junction, serratus anterior muscle, and a skin paddle. The rib was osteotomized to recreate mandibular contour, and the costochondral junction was shaped to form a neocondyle. The flap tolerated adjuvant radiotherapy and chemotherapy without complications over a 19\u2010month follow\u2010up period. No mandibular asymmetry was observed. Although larger series with longer follow\u2010up periods are needed, this technique may offer a single\u2010flap, growth\u2010preserving solution for complex defects involving the ramus\u2013condyle unit in pediatric patients.<\/jats:p>","DOI":"10.1002\/micr.70249","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T06:53:58Z","timestamp":1780642438000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Free Composite Osteotomized Serratus Anterior Chondroosteomusculocutaneous Flap for Dynamic Reconstruction of a Pediatric Combined Maxillectomy and Hemimandibulectomy Defect: A Case Report"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8039-7359","authenticated-orcid":false,"given":"Semih","family":"Baghaki","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Ko\u00e7 University School of Medicine, Ko\u00e7 University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5734-9751","authenticated-orcid":false,"given":"Yetkin Zeki","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Cerrahpasa Faculty of Medicine, Istanbul University\u2010Cerrahpasa  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1221-5327","authenticated-orcid":false,"given":"Batu","family":"\u00d6zl\u00fc\u015fen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Ko\u00e7 University School of Medicine, Ko\u00e7 University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2010.05.005"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2016.12.010"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.1802"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0278\u20102391(92)90371\u20106"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534\u2010197810000\u201000003"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198907000-00014"},{"issue":"4","key":"e_1_2_9_8_1","first-page":"303","article-title":"Growth After Construction of the Temporomandibular Joint in Children With Hemifacial Microsomia","volume":"26","author":"Munro I. 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