{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T03:02:23Z","timestamp":1789441343015,"version":"build-2803163510"},"reference-count":49,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","award":["CINSW 2020\/2081"],"award-info":[{"award-number":["CINSW 2020\/2081"]}],"id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100024053","name":"Sydney Local Health District","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024053","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011371","name":"Royal Australasian College of Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011371","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["2024602"],"award-info":[{"award-number":["2024602"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Data on health\u2010related quality\u2010of\u2010life (HRQoL) is indispensable in understanding patient outcomes following jaw reconstruction. This study aims to evaluate long\u2010term HRQoL using validated patient\u2010reported outcome measures (PROMs) following jaw reconstruction using buried skin grafts to facilitate implant\u2010retained dental prosthetic rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cohort study of all patients that underwent prelamination as described by Rohner or the Sydney Modified\u2013Alberta Reconstruction Technique (SM\u2010ART) from October 2012 to June 2023 at Chris O'Brien Lifehouse, Sydney, Australia with HRQoL data was conducted. HRQoL was assessed using the FACE\u2010Q Head and Neck Cancer Module, MD Anderson Dysphagia Inventory (MDADI), and Speech Handicap Index (SHI) at one\u2010year intervals from baseline to 5\u2009years post\u2010operatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010eight cases (Rohner technique;\n                      <jats:italic>n\u2009=<\/jats:italic>\n                      \u200919 or SM\u2010ART;\n                      <jats:italic>n\u2009=<\/jats:italic>\n                      \u20099) were included (median age, 52\u2009years). Six dental implant losses were recorded across five patients (median time to implant loss, 21.5\u2009months). Three patients required denture removal; however, all had an implant\u2010retained prosthesis at end of follow\u2010up. While cross\u2010sectional HRQoL scores were lower across most subscales at 12\u2009months post\u2010operatively as compared with baseline, mean scores among available respondents showed favourable trends towards baseline by 60\u2009months. Appearance distress notably improved beyond baseline (mean difference [MD] +19.9, 95% confidence interval [CI] \u22124.1 to 43.9), while oral competence (MD \u221216.6, 95% CI \u221253.4 to 20.2) and eating distress (MD \u22128.5, 95% CI \u221250.3 to 33.3) suggested a more persistent deficit.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Favourable trends in long\u2010term HRQoL were observed following these reconstructive techniques to optimise dental rehabilitation, although long\u2010term estimates should be interpreted cautiously. These data may help inform patient counselling regarding the anticipated trajectory of recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70978","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:06:33Z","timestamp":1789437993000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Health\u2010Related Quality of Life After Jaw Reconstruction With Fibula Free Flaps Using Primary Endosseous Implants and Buried Skin Grafts to Facilitate Implant\u2010Retained Dental Prostheses"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8062-4881","authenticated-orcid":false,"given":"Yu Jin","family":"Jeong","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6379-2621","authenticated-orcid":false,"given":"Masako","family":"Dunn","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8246-210X","authenticated-orcid":false,"given":"Emma","family":"Charters","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6493-7933","authenticated-orcid":false,"given":"Rebecca","family":"Venchiarutti","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"},{"name":"Sydney School of Public Health, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Manzie","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6431-5704","authenticated-orcid":false,"given":"Dale","family":"Howes","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"},{"name":"School of Dentistry, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2956-0453","authenticated-orcid":false,"given":"James","family":"Wykes","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carsten E.","family":"Palme","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Leinkram","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8958-736X","authenticated-orcid":false,"given":"Tsu\u2010Hui (Hubert)","family":"Low","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery  Sydney New South Wales Australia"},{"name":"Department of Otolaryngology Head &amp; Neck Surgery, Faculty of Medicine and Health Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yee Mon","family":"Aung","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery  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":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1209-772X","authenticated-orcid":false,"given":"Jonathan R.","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'brien Lifehouse  Sydney New South Wales Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery  Sydney New South Wales Australia"},{"name":"NHMRC Centre of Research Excellence for Applied Innovations in Oral Cancer  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"issue":"4","key":"e_1_2_11_2_1","first-page":"S1","article-title":"The Alberta Reconstructive Technique: An Occlusion\u2010Driven and Digitally Based Jaw Reconstruction","volume":"129","author":"Seikaly H.","year":"2019","journal-title":"Laryngoscope"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1111\/ans.19203","article-title":"Jaw in a Day Surgery: Early Experience With 19 Patients at an Australian Tertiary Referral Center","volume":"94","author":"Jeong Y. 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