{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:52:15Z","timestamp":1777686735190,"version":"3.51.4"},"reference-count":7,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2009,1,2]],"date-time":"2009-01-02T00:00:00Z","timestamp":1230854400000},"content-version":"vor","delay-in-days":154,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objectives\/Hypothesis:<\/jats:bold> The purpose of this report is to describe our recent experience using a double\u2010skin paddle fibular free flap (DSPFFF) for reconstruction of the through\u2010and\u2010through anterior mandibulectomy defect and to present a reconstructive algorithm based on the extent of lip and mental skin resection.<\/jats:p><jats:p><jats:bold>Study Design:<\/jats:bold> Retrospective review of 10 consecutive patients with through\u2010and\u2010through anterior mandibulectomy defects.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Outcomes that were examined included methods of reconstruction based on the cutaneous defect, flap complications, fistula rate, and donor site complications.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Seven patients were reconstructed with a DSPFFF. For lip reconstruction, two patients were also concomitantly reconstructed with Karapandzic or lip advancement flaps. Three patients were reconstructed with both a fibular free flap and a second free flap (1 radial forearm fasciocutaneous flap and 2 anterolateral thigh flaps). The transverse dimensions of the DSPFFFs were as great as 15 cm. None of the patients developed a fistula. All free tissue transfers were successful. One patient developed partial loss of the fibular skin paddle used for submental skin replacement.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> DSPFFF is a safe and reliable way to reconstruct an anterior through\u2010and\u2010through mandibular defect. Indications for using a DSPFFF are 1) a cutaneous defect that lies at or below the plane of the reconstructed mandible, 2) a transverse width of the oral mucosa and cutaneous defect that does not exceed 15 cm (the approximate distance from the mid\u2010calf to the anterior midline), and 3) a lip defect that, if present, can be reconstructed with local flaps.<\/jats:p>","DOI":"10.1097\/mlg.0b013e3181734f60","type":"journal-article","created":{"date-parts":[[2009,2,19]],"date-time":"2009-02-19T21:26:38Z","timestamp":1235078798000},"page":"1329-1334","source":"Crossref","is-referenced-by-count":25,"title":["Reconstruction of the Through\u2010and\u2010Through Anterior Mandibulectomy Defect: Indications and Limitations of the Double\u2010Skin Paddle Fibular Free Flap"],"prefix":"10.1002","volume":"118","author":[{"given":"Frederic W.\u2010B.","family":"Deleyiannis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn","family":"Rogers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert L.","family":"Ferris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen Y.","family":"Lai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seungwon","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,1,2]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199110000-00005"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000070981.73721.8D"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000210663.59939.02"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000164688.44223.75"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2002.34425"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.2.1.53"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000090722.16689.9A"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1097%2FMLG.0b013e3181734f60","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1097\/MLG.0b013e3181734f60","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T09:41:26Z","timestamp":1696930886000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1097\/MLG.0b013e3181734f60"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,8]]},"references-count":7,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2008,8]]}},"alternative-id":["10.1097\/MLG.0b013e3181734f60"],"URL":"https:\/\/doi.org\/10.1097\/mlg.0b013e3181734f60","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,8]]}}}