{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:27:56Z","timestamp":1786991276246,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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>\n                    Reconstruction of buccal mucosal defects requires thin, pliable, and well\u2010vascularized tissue to preserve oral function and cheek mobility. While the radial forearm free flap remains widely used, alternative ultra\u2010thin options are needed, particularly in obese patients where conventional perforator flaps may be excessively thick. We report the case of a 59\u2010year\u2010old obese man (BMI 32\u2009kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    ) undergoing resection of a superficial squamous cell carcinoma of the left buccal mucosa, resulting in a wide 6\u2009\u00d7\u20096\u2009cm defect. Reconstruction was performed using a super\u2010thin external pudendal artery (STEPA) free flap harvested from the hemiscrotum. The fasciocutaneous flap, measuring 6\u2009\u00d7\u20096\u2009cm, demonstrated uniform near\u2010millimetric thickness (2\u20133\u2009mm), allowing direct intraoral inset without the need for thinning. Microvascular anastomoses were performed to the facial vessels, and donor\u2010site closure was achieved primarily. The postoperative course was uneventful, with early enteral feeding, progressive oral intake from day 10, and no complications. At 3\u2009months of follow\u2010up, the flap showed complete integration with preserved cheek mobility and satisfactory mouth opening. This case highlights that the STEPA free flap may represent a useful ultra\u2010thin reconstructive option for buccal mucosal defects in selected patients, particularly when minimal flap thickness is required.\n                  <\/jats:p>","DOI":"10.1002\/micr.70261","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T10:47:45Z","timestamp":1784890065000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Super Thin External Pudendal Artery Free Flap for Buccal Reconstruction: A Case Report"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9599-1685","authenticated-orcid":false,"given":"Olivier","family":"Mathieu","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Gustave Roussy Cancer Campus  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leo","family":"Ouhayoun","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Gustave Roussy Cancer Campus  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Walhin","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Gustave Roussy Cancer Campus  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Fran\u00e7ois","family":"Honart","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Gustave Roussy Cancer Campus  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phane","family":"Temam","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery Gustave Roussy Cancer Campus  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Leymarie","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Gustave Roussy Cancer Campus  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2021.151828"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2005.03.002"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2024.03.006"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30512"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000011158"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1597\/15\u2010106"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004619"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2017.10.011"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000221118.31863.c4"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1916\u20100216\u201043\u20101"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.05.044"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31818cc0ff"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534\u2010198607000\u201000001"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.01.004"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.07.048"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70261","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.70261","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70261","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:40:33Z","timestamp":1786988433000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.70261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/micr.70261"],"URL":"https:\/\/doi.org\/10.1002\/micr.70261","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-02-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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