{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:03:13Z","timestamp":1789660993651,"version":"4.0.1"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2009,4,1]],"date-time":"2009-04-01T00:00:00Z","timestamp":1238544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2009,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate our experience with reconstruction of anterior and lateral through\u2010and\u2010through defects of the oral cavity using the fibula osteocutaneous flap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Case series with chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Review of patients undergoing reconstruction of through\u2010and\u2010through oral cavity defects between August 2006 and July 2008. Defect size, complications, and need for additional reconstruction were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twelve patients were identified with through\u2010and\u2010through oromandibular defects reconstructed with the fibula. Soft tissue defects were successfully closed using a de\u2010epithelialized segment to create two skin paddles. Four patients required additional pectoralis major flap reconstruction for secondary fibula skin loss (1), neck skin breakdown (1), delayed flap loss (1), and need for additional tissue for closure (1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The versatility of the fibula for through\u2010and\u2010through defects of the oral cavity is underestimated, and in most cases it is appropriate to reserve second flaps for salvage reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.otohns.2008.12.054","type":"journal-article","created":{"date-parts":[[2009,3,27]],"date-time":"2009-03-27T04:58:59Z","timestamp":1238129939000},"page":"519-525","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Reconstruction of the through\u2010and\u2010through oral cavity defect with the fibula free flap"],"prefix":"10.1002","volume":"140","author":[{"given":"T.J.","family":"Gal","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery University of Kentucky Lexington KY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin A.","family":"Jones","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery University of Kentucky Lexington KY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Valentino","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery University of Kentucky Lexington KY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890080607"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199103000-00007"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199710)19:7<620::AID-HED10>3.0.CO;2-6"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000100809.43453.C7"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880140605"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200201000-00008"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199410000-00023"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.SAP.0000054248.59489.CA"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000070981.73721.8D"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20612"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3181734f60"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2005.07.008"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1258\/0022215054020511"},{"issue":"2","key":"e_1_2_8_15_1","first-page":"141","article-title":"Locally advanced cheek carcinoma; 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