{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T21:01:28Z","timestamp":1789592488303,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T00:00:00Z","timestamp":1673395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Anterolateral thigh (ALT) and Radial forearm free flaps (RFFF) are historically the most common methods of oral reconstruction. The Superficial circumflex iliac artery perforator flap (SCIP) is an alternative providing a donor site that can be readily closed primarily with improved cosmesis in younger patients, due to its concealability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed 135 patients who received ALT, RFFF or SCIP flaps for oral reconstruction in our institution. Our aim was to compare operative and perioperative outcomes between each cohort. ANOVA and <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> test were used for statistical analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 37 ALT, 64 RFFF and 35 SCIP reconstructions. Patients reconstructed with SCIP flaps had smaller resection volumes (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001) and earlier T and N classifications (<jats:italic>P<\/jats:italic>\u00a0=\u20090.001, <jats:italic>P<\/jats:italic>\u00a0=\u20090.008), and consequently reduced tracheostomy rates (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), reduced need for enteral feeding at discharge (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001) and shorter length of stay and perioperative times (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001). SCIP flaps were more common in younger patients (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.01). ALT flaps were used for more advanced disease (<jats:italic>P<\/jats:italic>\u00a0=\u20090.001) and had larger resection volumes (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001) and increased need for assisted enteral feeding (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001). There were no significant differences in flap or donor site outcomes. There were two flap failures, both RFFF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Each flap plays an important role in the reconstruction of oral defects, with larger defects preferentially reconstructed with ALT flaps. SCIP appears to be a reliable alternative in small defects with excellent perioperative and postoperative outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18239","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T11:36:14Z","timestamp":1673436974000},"page":"1335-1340","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Anterolateral thigh, radial forearm and superficial circumflex iliac perforator flaps in oral reconstruction: a comparative analysis"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4450-4983","authenticated-orcid":false,"given":"Michael John","family":"Papanikolas","sequence":"first","affiliation":[{"name":"Sydney Head and Neck Cancer Institute, Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael James Leslie","family":"Hurrell","sequence":"additional","affiliation":[{"name":"Sydney Head and Neck Cancer Institute, Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan R.","family":"Clark","sequence":"additional","affiliation":[{"name":"Sydney Head and Neck Cancer Institute, Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health Sciences The University of Sydney  Sydney New South Wales Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsu\u2010Hui (Hubert)","family":"Low","sequence":"additional","affiliation":[{"name":"Sydney Head and Neck Cancer Institute, Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health Sciences The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4011-1253","authenticated-orcid":false,"given":"Sydney","family":"Ch'ng","sequence":"additional","affiliation":[{"name":"Sydney Head and Neck Cancer Institute, Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health Sciences The University of Sydney  Sydney New South Wales Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5654-2114","authenticated-orcid":false,"given":"Michael S.","family":"Elliott","sequence":"additional","affiliation":[{"name":"Sydney Head and Neck Cancer Institute, Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health Sciences The University of Sydney  Sydney New South Wales Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carsten E.","family":"Palme","sequence":"additional","affiliation":[{"name":"Sydney Head and Neck Cancer Institute, Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health Sciences The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Wykes","sequence":"additional","affiliation":[{"name":"Sydney Head and Neck Cancer Institute, Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health Sciences The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-014-0689-z"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/795483"},{"key":"e_1_2_10_4_1","unstructured":"Australian Institute of Health and Welfare 2021.Cancer in Australia 2021. 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