{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T11:37:02Z","timestamp":1781696222752,"version":"3.54.5"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Reconstr Microsurg"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Oromandibular defects involving the external skin are a reconstructive challenge. This study aimed to evaluate the use of the fibula osteocutaneous free flap (FOCFF) for through-and-through oromandibular defects by comparing the surgical outcomes and complications of different techniques to close the external skin defect.<\/jats:p><jats:p>\n          Methods\u2003A retrospective analysis was conducted of patients who underwent reconstruction of through-and-through oromandibular defects after oncologic segmental mandibulectomy between January 2011 and December 2014. Five groups were analyzed according to the method of external skin coverage: primary closure, locoregional flaps, deepithelialized double-skin paddle FOCFF (deEpi-FOCFF), division of the skin paddle for double-skin paddle FOCFF (div-FOCFF), and a simultaneous second free flap. Intraoperative and postoperative outcomes along with complications were analyzed between groups.<\/jats:p><jats:p>\n          Results\u2003A total of 323 patients were included. The mean total defect area requiring a simultaneous second free flap was larger in comparison to other groups (p\u2009&lt;\u20090.001). Reconstructions performed with div-FOCFF had a higher number of perforators per flap when compared with deEpi-FOCFF (p\u2009&lt;\u20090.001). External defects closed with another free flap exhibited higher intraoperative time for the reconstructive segment in comparison to other groups (p\u2009&lt;\u20090.05). The overall rate of complications was comparable between groups (24%, p\u2009=\u20090.129).<\/jats:p><jats:p>\n          Conclusion\u2003The FFOCF is a reliable alternative to harvesting multiple simultaneous free flaps for through-and-through oromandibular defects. The authors recommend appropriate curation of the surgical plan based on individual patient characteristics and reconstructive requirements.<\/jats:p>","DOI":"10.1055\/a-2060-9950","type":"journal-article","created":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T23:46:45Z","timestamp":1679615205000},"page":"001-011","source":"Crossref","is-referenced-by-count":1,"title":["Management of Through-and-Through Oromandibular Defects after Segmental Mandibulectomy with Fibula Osteocutaneous Flap"],"prefix":"10.1055","volume":"40","author":[{"given":"Saumya","family":"Mathews","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dushyant","family":"Jaiswal","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabha","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay Kant","family":"Shankhdhar","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumit","family":"Hadgaonkar","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayur","family":"Mantri","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ameya","family":"Bindu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineet","family":"Pilania","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arbab","family":"Mohammad","sequence":"additional","affiliation":[{"name":"Aarupadai Veedu Medical College and Hospital, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph M.","family":"Escand\u00f3n","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1245\/s10434-017-6309-1","article-title":"Anterolateral thigh flap combined with reconstruction plate versus double free flaps for composite mandibular reconstruction: a propensity score-matched study","volume":"25","author":"A C Offodile II","year":"2018","journal-title":"Ann Surg Oncol"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1002\/micr.30894","article-title":"Free flap transfer with supermicrosurgical technique for soft tissue reconstruction: a systematic review and meta-analysis","volume":"43","author":"J M Escand\u00f3n","year":"2023","journal-title":"Microsurgery"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1080\/00015458.2022.2073016","article-title":"Clinical applications of the chimeric anterolateral thigh (ALT) flap in head and neck reconstruction","author":"C Matsui","year":"2023","journal-title":"Acta Chir Belg"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1055\/s-0041-1733978","article-title":"The versatility of the DCIA free flap: a forgotten flap? 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