{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T01:15:02Z","timestamp":1788225302851,"version":"build-2803163510"},"reference-count":29,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.fr","clinicalkey.jp","jprasopen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JPRAS Open"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jpra.2026.07.021","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T12:31:06Z","timestamp":1784205066000},"page":"552-567","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Free flap versus pedicled flap reconstruction in head and neck surgery: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8187-0017","authenticated-orcid":false,"given":"Lara","family":"Crouch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharine","family":"Fleming","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.jpra.2026.07.021_bib0001","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s40463-019-0334-y","article-title":"Free versus pedicled flaps for reconstruction of head and neck cancer defects: a systematic review","volume":"48","author":"Gabrysz-Forget","year":"2019","journal-title":"J Otolaryngol Head Neck Surg"},{"issue":"5","key":"10.1016\/j.jpra.2026.07.021_bib0002","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1055\/s-0041-1733922","article-title":"Postoperative complications associated with the choice of reconstruction in head and neck cancer: an outcome analysis of 4712 patients from the ACS-NSQIP database","volume":"38","author":"Katsnelson","year":"2022","journal-title":"J Reconstr Microsurg"},{"issue":"6","key":"10.1016\/j.jpra.2026.07.021_bib0003","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1016\/j.oraloncology.2011.03.024","article-title":"Comparison between free flap and pectoralis major pedicled flap for reconstruction in oral cavity cancer patients \u2013 a quality of life analysis","volume":"47","author":"Hsing","year":"2011","journal-title":"Oral Oncol"},{"issue":"1","key":"10.1016\/j.jpra.2026.07.021_bib0004","first-page":"1","article-title":"Modern oral cavity reconstruction with free flaps and pedicled flaps","volume":"2","author":"Deganello","year":"2015","journal-title":"JPRAS"},{"issue":"1","key":"10.1016\/j.jpra.2026.07.021_bib0006","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1001\/archoto.2010.204","article-title":"Submental island pedicled flap vs radial forearm free flap for oral reconstruction: comparison of outcomes","volume":"137","author":"Paydarfar","year":"2011","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"12","key":"10.1016\/j.jpra.2026.07.021_bib0007","doi-asserted-by":"crossref","first-page":"3213","DOI":"10.1002\/hed.28229","article-title":"Comparing outcomes of pedicled submandibular gland flap and submental artery perforator flap in oral cavity reconstruction","volume":"47","author":"Al-Aroomi","year":"2025","journal-title":"Head Neck"},{"issue":"3","key":"10.1016\/j.jpra.2026.07.021_bib0008","first-page":"127","article-title":"Functional outcomes in patients reconstructed with flaps following surgery for hypopharyngeal cancer","volume":"26","author":"Benazzo","year":"2006","journal-title":"Acta Otorhinolaryngol Ital"},{"issue":"8","key":"10.1016\/j.jpra.2026.07.021_bib0009","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1097\/00005537-199708000-00004","article-title":"Resource utilization and patient morbidity in head and neck reconstruction","volume":"107","author":"Brown","year":"1997","journal-title":"Laryngoscope"},{"issue":"6","key":"10.1016\/j.jpra.2026.07.021_bib0010","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1016\/j.oraloncology.2005.01.010","article-title":"Comparison of deltopectoralis flap and free radial forearm flap in reconstruction after oral cancer ablation","volume":"41","author":"Chung-Ho","year":"2005","journal-title":"Oral Oncol"},{"issue":"2","key":"10.1016\/j.jpra.2026.07.021_bib0011","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/01.mlg.0000191459.40059.fd","article-title":"Morbidity after flap reconstruction of hypopharyngeal defects","volume":"116","author":"Clark","year":"2006","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jpra.2026.07.021_bib0012","doi-asserted-by":"crossref","first-page":"E1510","DOI":"10.1002\/lary.29154","article-title":"Reconstructive options during nonfunctional laryngectomy","volume":"131","author":"Escalante","year":"2021","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jpra.2026.07.021_bib0013","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/s40463-016-0124-8","article-title":"Submental island flap reconstruction reduces cost in oral cancer reconstruction compared to radial forearm free flap: a case series and cost analysis","volume":"45","author":"Forner","year":"2016","journal-title":"J Otolaryngol Head Neck Surg"},{"issue":"2","key":"10.1016\/j.jpra.2026.07.021_bib0014","article-title":"Pedicled supraclavicular artery island flap versus free radial forearm flap: perioperative outcomes in head and neck reconstruction","volume":"13","author":"Gonzalez-Garcia","year":"2021","journal-title":"Cureus"},{"issue":"1","key":"10.1016\/j.jpra.2026.07.021_bib0015","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1002\/lary.27455","article-title":"Free flap versus pedicled flap reconstruction of laryngopharyngeal defects: a 10-year National Surgical Quality Improvement Program analysis","volume":"129","author":"Haidar","year":"2019","journal-title":"Laryngoscope"},{"issue":"12","key":"10.1016\/j.jpra.2026.07.021_bib0016","doi-asserted-by":"crossref","first-page":"2663","DOI":"10.1002\/lary.23528","article-title":"Comprehensive management of temporal bone defects after oncologic resection","volume":"122","author":"Hanasono","year":"2012","journal-title":"Laryngoscope"},{"issue":"6","key":"10.1016\/j.jpra.2026.07.021_bib0017","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1177\/0194599816634296","article-title":"Reconstruction of lateral skull base defects","volume":"154","author":"Howard","year":"2016","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"5","key":"10.1016\/j.jpra.2026.07.021_bib0018","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1002\/lary.23657","article-title":"Palliative surgery for head and neck cancer with extensive skin involvement","volume":"123","author":"Jang","year":"2013","journal-title":"Laryngoscope"},{"issue":"3","key":"10.1016\/j.jpra.2026.07.021_bib0019","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1007\/s13193-021-01353-1","article-title":"Pedicled flap vs. Free flap reconstruction in head and neck cancers: clinical outcome analysis from a single surgical team","volume":"12","author":"Katna","year":"2021","journal-title":"Indian J Surg Oncol"},{"issue":"6","key":"10.1016\/j.jpra.2026.07.021_bib0020","doi-asserted-by":"crossref","first-page":"459","DOI":"10.14639\/0392-100X-1153","article-title":"Head and neck reconstruction with pedicled flaps in the free flap era","volume":"36","author":"Mahieu","year":"2016","journal-title":"Acta Otorhinolaryngol Ital"},{"issue":"12","key":"10.1016\/j.jpra.2026.07.021_bib0021","doi-asserted-by":"crossref","first-page":"2161","DOI":"10.1097\/00005537-200212000-00006","article-title":"Free tissue transfer versus pedicled flap in head and neck reconstruction","volume":"112","author":"McCrory","year":"2002","journal-title":"Laryngoscope"},{"issue":"6","key":"10.1016\/j.jpra.2026.07.021_bib0022","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1016\/j.jobcr.2022.08.028","article-title":"PMMC flaps for reconstruction of oral defects in the age of microvascular flaps: a developing nation perspective","volume":"12","author":"Padha","year":"2022","journal-title":"J Oral Biol Craniofac Res"},{"key":"10.1016\/j.jpra.2026.07.021_bib0023","first-page":"S1","article-title":"The submental flap for head and neck reconstruction: comparison of outcomes to the radial forearm free flap","volume":"130","author":"Patel","year":"2019","journal-title":"Laryngoscope"},{"issue":"1","key":"10.1016\/j.jpra.2026.07.021_bib0024","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1001\/archoto.2010.204","article-title":"Submental island pedicled flap vs radial forearm free flap for oral reconstruction: comparison of outcomes","volume":"137","author":"Paydarfar","year":"2011","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"3","key":"10.1016\/j.jpra.2026.07.021_bib0025","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1007\/s00405-021-06898-z","article-title":"Changing trend in the management of head neck cancers during the COVID-19 pandemic","volume":"279","author":"Pradhan","year":"2022","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"2","key":"10.1016\/j.jpra.2026.07.021_bib0026","doi-asserted-by":"crossref","first-page":"191","DOI":"10.4103\/njms.NJMS_66_17","article-title":"Reconstruction in head-and-neck cancers \u2013 analysis of the learning curve","volume":"9","author":"Ratnagiri","year":"2018","journal-title":"Natl J Maxillofac Surg"},{"issue":"1","key":"10.1016\/j.jpra.2026.07.021_bib0027","first-page":"e32","article-title":"Pedicled flaps versus free flaps for oral cavity cancer reconstruction: a comparison of complications","volume":"27","author":"Sittitrai","year":"2023","journal-title":"Hosp Costs Funct Outcomes Int Arch Otorhinolaryngol"},{"key":"10.1016\/j.jpra.2026.07.021_bib0028","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1186\/s12903-024-03955-x","article-title":"A retrospective propensity score-matched analysis of oncological and functional outcomes of submental island flap versus radial forearm free flap for oral cavity cancer reconstruction","volume":"24","author":"Sittitrai","year":"2024","journal-title":"BMC Oral Health"},{"key":"10.1016\/j.jpra.2026.07.021_bib0029","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s10006-020-00838-7","article-title":"A decade of reconstructive surgery: outcome and perspectives of free tissue transfer in the head and neck. Experience of a single center institution","volume":"24","author":"Spoerl","year":"2020","journal-title":"J Oral Maxillofac Surg"},{"issue":"9","key":"10.1016\/j.jpra.2026.07.021_bib0030","doi-asserted-by":"crossref","first-page":"3139","DOI":"10.1002\/lary.32287","article-title":"Comparing flaps and artificial dermis for skull base osteoradionecrosis repair in nasopharyngeal carcinoma","volume":"135","author":"Sun","year":"2025","journal-title":"Laryngoscope"}],"container-title":["JPRAS Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S235258782600255X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S235258782600255X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:45:42Z","timestamp":1788223542000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S235258782600255X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":29,"alternative-id":["S235258782600255X"],"URL":"https:\/\/doi.org\/10.1016\/j.jpra.2026.07.021","relation":{},"ISSN":["2352-5878"],"issn-type":[{"value":"2352-5878","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Free flap versus pedicled flap reconstruction in head and neck surgery: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"JPRAS Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpra.2026.07.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Crown Copyright \u00a9 2026 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.","name":"copyright","label":"Copyright"}]}}