{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T00:23:11Z","timestamp":1793406191186,"version":"4.5.0"},"reference-count":31,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cranio-Maxillofacial Surgery"],"published-print":{"date-parts":[[2021,10]]},"DOI":"10.1016\/j.jcms.2021.04.015","type":"journal-article","created":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T02:27:27Z","timestamp":1620181647000},"page":"959-970","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["Functional results of swallowing and aspiration after oral cancer treatment and microvascular free flap reconstruction: A retrospective observational assessment"],"prefix":"10.1016","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0991-9465","authenticated-orcid":false,"given":"Juan Carlos","family":"de Vicente","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"R\u00faa-Gonz\u00e1lvez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Mar\u00eda","family":"Barroso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1lvaro","family":"Fern\u00e1ndez del Valle-Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"de Villala\u00edn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio","family":"Pe\u00f1a","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Luis","family":"Cobo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jcms.2021.04.015_bib1","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/j.jcms.2019.01.037","article-title":"The use of vascularized fibula flap in mandibular reconstruction; A comprehensive systematic review and meta-analysis of the observational studies","volume":"47","author":"Awad","year":"2019","journal-title":"J.\u00a0Cranio-Maxillo-Fac. Surg."},{"key":"10.1016\/j.jcms.2021.04.015_bib3","doi-asserted-by":"crossref","first-page":"2690","DOI":"10.1016\/j.joms.2010.05.004","article-title":"A\u00a0longitudinal study of functional outcomes after surgical resection and microvascular reconstruction for oral cancer: tongue mobility and swallowing function","volume":"68","author":"Brown","year":"2010","journal-title":"J.\u00a0Oral Maxillofac. Surg."},{"key":"10.1016\/j.jcms.2021.04.015_bib4","doi-asserted-by":"crossref","first-page":"e23","DOI":"10.1016\/S1470-2045(15)00310-1","article-title":"A\u00a0new classification for mandibular defects after oncological resection","volume":"17","author":"Brown","year":"2016","journal-title":"Lancet Oncol."},{"key":"10.1016\/j.jcms.2021.04.015_bib5","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1016\/j.clnu.2008.06.011","article-title":"Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration","volume":"27","author":"Clav\u00e9","year":"2008","journal-title":"Clin. Nutr."},{"key":"10.1016\/j.jcms.2021.04.015_bib6","doi-asserted-by":"crossref","first-page":"117","DOI":"10.3342\/ceo.2013.6.3.117","article-title":"Dysphagia in head and neck cancer patients: pretreatment evaluation, predictive factors, and assessment during radio-chemotherapy, recommendations","volume":"6","author":"Denaro","year":"2013","journal-title":"Clin. Exp. Otorhinolaryngol."},{"key":"10.1016\/j.jcms.2021.04.015_bib7","doi-asserted-by":"crossref","first-page":"2270","DOI":"10.1016\/j.joms.2008.01.018","article-title":"Microvascular free tissue transfer for tongue reconstruction after hemiglossectomy: a functional assessment of radial forearm versus anterolateral thigh flap","volume":"66","author":"de Vicente","year":"2008","journal-title":"J.\u00a0Oral Maxillofac. Surg."},{"key":"10.1016\/j.jcms.2021.04.015_bib8","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1002\/lary.23505","article-title":"Total glossectomy with laryngeal preservation and free flap reconstruction: objective functional outcomes and systematic review of the literature","volume":"123","author":"Dziegielewski","year":"2013","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jcms.2021.04.015_bib9","doi-asserted-by":"crossref","first-page":"1967","DOI":"10.1097\/PRS.0b013e3181f44742","article-title":"A\u00a0strategic approach for tongue reconstruction to achieve predictable and improved functional and aesthetic outcomes","volume":"126","author":"Engel","year":"2010","journal-title":"Plast. Reconstr. Surg."},{"key":"10.1016\/j.jcms.2021.04.015_bib10","doi-asserted-by":"crossref","first-page":"511","DOI":"10.14639\/0392-100X-1967","article-title":"Aspiration: diagnostic contributions from bedside swallowing evaluation and endoscopy","volume":"38","author":"Farneti","year":"2018","journal-title":"Acta Otorhinolaryngol. Ital."},{"key":"10.1016\/j.jcms.2021.04.015_bib11","doi-asserted-by":"crossref","first-page":"104853","DOI":"10.1016\/j.oraloncology.2020.104853","article-title":"Characterization of very late dysphagia after chemoradiation for oropharyngeal squamous cell carcinoma","volume":"111","author":"Gharzai","year":"2020","journal-title":"Oral Oncol."},{"key":"10.1016\/j.jcms.2021.04.015_bib12","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1016\/j.jcms.2019.01.017","article-title":"Temporary tracheotomy in microvascular reconstruction in maxillofacial surgery: benefit or threat?","volume":"47","author":"Goetz","year":"2019","journal-title":"J.\u00a0Cranio-Maxillo-Fac. Surg."},{"key":"10.1016\/j.jcms.2021.04.015_bib13","article-title":"The changes in pharyngeal constrictor muscles related to head and neck radiotherapy: a Systematic Review","volume":"19","author":"Grepl","year":"2020","journal-title":"Technol. Canc. Res. Treat."},{"key":"10.1016\/j.jcms.2021.04.015_bib14","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1002\/lary.27579","article-title":"Total glossectomy with free flap reconstruction: twenty-year experience at a tertiary medical center","volume":"129","author":"Han","year":"2019","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jcms.2021.04.015_bib15","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.oraloncology.2010.11.001","article-title":"Assessment of volume changes of radial forearm free flaps in head and neck cancer: long-term results","volume":"47","author":"Joo","year":"2011","journal-title":"Oral Oncol."},{"key":"10.1016\/j.jcms.2021.04.015_bib16","doi-asserted-by":"crossref","first-page":"1572","DOI":"10.1002\/lary.25894","article-title":"Swallowing outcomes following primary surgical resection and primary free flap reconstruction for oral and oropharyngeal squamous cell carcinomas: a systematic review","volume":"126","author":"Kao","year":"2016","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jcms.2021.04.015_bib17","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1016\/j.jcms.2019.06.011","article-title":"Severe postoperative dysphagia as an early predictor for decreased overall survival in patients with oral cancer","volume":"47","author":"Klingelh\u00f6ffer","year":"2019","journal-title":"J.\u00a0Cranio-Maxillo-Fac. Surg."},{"key":"10.1016\/j.jcms.2021.04.015_bib18","first-page":"1","article-title":"Patients with head-and-neck cancer: dysphagia and affective symptoms","volume":"3","author":"Krebbers","year":"2020","journal-title":"Folia Phoniatrica Logop."},{"key":"10.1016\/j.jcms.2021.04.015_bib19","doi-asserted-by":"crossref","first-page":"2513","DOI":"10.1007\/s00405-017-4522-y","article-title":"Murray secretion scale and fiberoptic endoscopic evaluation of swallowing in predicting aspiration in dysphagic patients","volume":"274","author":"Kuo","year":"2017","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"10.1016\/j.jcms.2021.04.015_bib20","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/j.ctrv.2009.08.008","article-title":"Dysphagia in head and neck cancer","volume":"35","author":"Manikantan","year":"2009","journal-title":"Canc. Treat Rev."},{"key":"10.1016\/j.jcms.2021.04.015_bib21","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.oraloncology.2016.11.009","article-title":"Patterns of dysphagia and acute toxicities in patients with head and neck cancer undergoing helical IMRT \u00b1 concurrent chemotherapy","volume":"64","author":"Moroney","year":"2017","journal-title":"Oral Oncol."},{"key":"10.1016\/j.jcms.2021.04.015_bib22","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1016\/j.suronc.2018.05.029","article-title":"Predictors of chewing and swallowing disorders after surgery for locally advanced oral cancer with free flap reconstruction: a prospective, observational study","volume":"27","author":"Ohkoshi","year":"2018","journal-title":"Surg. Oncol."},{"key":"10.1016\/j.jcms.2021.04.015_bib23","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.3109\/00016489.2014.913809","article-title":"Long-term functional outcomes and quality of life after oncologic surgery and microvascular reconstruction in patients with oral or oropharyngeal cancer","volume":"134","author":"Pierre","year":"2014","journal-title":"Acta Otolaryngol."},{"key":"10.1016\/j.jcms.2021.04.015_bib24","first-page":"3681","article-title":"Guerra ENS: deglutition disorders as a consequence of head and neck cancer therapies: a systematic review and meta-analysis","volume":"27","author":"Porto de Toledo","year":"2019","journal-title":"Support. Care Canc."},{"key":"10.1016\/j.jcms.2021.04.015_bib25","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1177\/0194599820938011","article-title":"Factors influencing the development of pneumonia in patients with head and neck cancer: a meta-analysis","volume":"164","author":"Reddy","year":"2020","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"10.1016\/j.jcms.2021.04.015_bib26","doi-asserted-by":"crossref","first-page":"1256","DOI":"10.1111\/nmo.12382","article-title":"Sensitivity and specificity of the eating assessment tool and the Volume-Viscosity Swallow Test for clinical evaluation of oropharyngeal dysphagia","volume":"26","author":"Rofes","year":"2014","journal-title":"Neuro Gastroenterol. Motil."},{"key":"10.1016\/j.jcms.2021.04.015_bib27","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1007\/s00455-019-09992-x","article-title":"Association between pharyngeal pooling and aspiration using fiberoptic endoscopic evaluation of swallowing in head and neck cancer patients with dysphagia","volume":"35","author":"Simon","year":"2019","journal-title":"Dysphagia"},{"key":"10.1016\/j.jcms.2021.04.015_bib28","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1016\/j.otc.2013.08.004","article-title":"Oropharyngeal dysphagia: screening and assessment","volume":"46","author":"Speyer","year":"2013","journal-title":"Otolaryngol. Clin."},{"key":"10.1016\/j.jcms.2021.04.015_bib29","first-page":"374","article-title":"Functional results of microvascular reconstruction after hemiglossectomy: free anterolateral thigh flap versus free forearm flap","volume":"33","author":"Tarsitano","year":"2013","journal-title":"Acta Otorhinolaryngol. Ital."},{"key":"10.1016\/j.jcms.2021.04.015_bib30","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1016\/j.oraloncology.2015.06.008","article-title":"Weekly cetuximab concurrent with IMRT aggravated radiation-induced oral mucositis in locally advanced nasopharyngeal carcinoma: results of a randomized phase II study","volume":"51","author":"Xu","year":"2015","journal-title":"Oral Oncol."},{"issue":"1500","key":"10.1016\/j.jcms.2021.04.015_bib31","first-page":"e1","article-title":"Comparison of oral function: free anterolateral thigh perforator flaps versus vascularized free forearm flap for reconstruction in patients undergoing glossectomy","volume":"74","author":"Yuan","year":"2016","journal-title":"J.\u00a0Oral Maxillofac. Surg."},{"key":"10.1016\/j.jcms.2021.04.015_bib32","doi-asserted-by":"crossref","first-page":"2157","DOI":"10.1016\/j.jcms.2018.10.006","article-title":"Free radial forearm flap and anterolateral thigh flap for reconstruction of hemiglossectomy defects: acomparison of quality of life","volume":"46","author":"Zhang","year":"2018","journal-title":"J.\u00a0Cranio-Maxillo-Fac. Surg."}],"container-title":["Journal of Cranio-Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1010518221001244?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1010518221001244?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T14:44:58Z","timestamp":1760885098000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1010518221001244"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":31,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["S1010518221001244"],"URL":"https:\/\/doi.org\/10.1016\/j.jcms.2021.04.015","relation":{},"ISSN":["1010-5182"],"issn-type":[{"value":"1010-5182","type":"print"}],"subject":[],"published":{"date-parts":[[2021,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Functional results of swallowing and aspiration after oral cancer treatment and microvascular free flap reconstruction: A retrospective observational assessment","name":"articletitle","label":"Article Title"},{"value":"Journal of Cranio-Maxillofacial Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcms.2021.04.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}