{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T22:31:24Z","timestamp":1782340284535,"version":"3.54.5"},"reference-count":25,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,4,27]],"date-time":"2024-04-27T00:00:00Z","timestamp":1714176000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This study aims to evaluate the factors most associated with early and late complications following microvascular free tissue transfer (MVFTT) after mandibulectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of patients undergoing MVFTT after segmental mandibulectomy from September 2016 to February 2021 was performed across a single academic institution. Surgical variables were collected, including the location of the resultant mandibular defect (anterior vs posterior) and flap type (osseous or non-osseous). The primary outcome variables included postoperative complications (early, &lt;90\u2009days; and late, &gt;90\u2009days) and the patients\u2019 functional status (return to oral intake). Descriptive statistics, chi-square test, Fischer\u2019s exact test, and 2-sample t tests were used to analyze differences among variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We analyzed a cohort of 114 consecutive patients with mandibular defects, comprising 57 anterior and 57 posterior defects. Bony free flaps with hardware were used to reconstruct 98% of anterior defects compared to 58% of posterior defects ( P\u2009&lt;\u2009.001). All soft tissue only flaps did not utilize any hardware during the reconstruction. Anterior defects demonstrated more late complications requiring additional surgery (30% vs 9%, P\u2009=\u2009.04). A secondary analysis of posterior mandibular reconstructions compared soft tissue only flaps and bony free flaps with hardware and showed equivalent rates of early (12% vs 13%, P\u2009&gt;\u2009.99) and late (9% vs 8%, P\u2009&gt;\u2009.99) complications requiring additional surgery while demonstrating a similar return to full oral competence (55% vs 46%, P\u2009=\u2009.52) and recovery of a 100% oral diet (67% vs 54%, P\u2009=\u2009.53).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Osseous free tissue transfer for segmental mandibular defects remains the gold standard in reconstruction. In our patient cohort, anterior mandibular defects are associated with greater late (&gt;90\u2009day) complications requiring additional surgery. Comparable outcomes may be achieved with soft tissue only versus osseous free flap reconstruction of posterior mandibular defects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894241250177","type":"journal-article","created":{"date-parts":[[2024,4,27]],"date-time":"2024-04-27T05:41:40Z","timestamp":1714196500000},"page":"672-678","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Early and Late Complications of Mandibulectomy Free Flap Reconstruction: Does the Selective Use of Soft Tissue Only Flaps Reduce Complications?"],"prefix":"10.1177","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3050-976X","authenticated-orcid":false,"given":"Dylan B.","family":"McBee","sequence":"first","affiliation":[{"name":"Bobby R. Alford Department of Otolaryngology\u2014Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0345-031X","authenticated-orcid":false,"given":"Michael J.","family":"DiLeo","sequence":"additional","affiliation":[{"name":"Bobby R. Alford Department of Otolaryngology\u2014Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline C.","family":"Keehn","sequence":"additional","affiliation":[{"name":"Bobby R. Alford Department of Otolaryngology\u2014Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew T.","family":"Huang","sequence":"additional","affiliation":[{"name":"Bobby R. Alford Department of Otolaryngology\u2014Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela D.","family":"Haskins","sequence":"additional","affiliation":[{"name":"Bobby R. Alford Department of Otolaryngology\u2014Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Hernandez","sequence":"additional","affiliation":[{"name":"Bobby R. Alford Department of Otolaryngology\u2014Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,27]]},"reference":[{"key":"bibr1-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1016\/J.IJOM.2019.02.013"},{"key":"bibr2-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0B013E3181D62AEF"},{"key":"bibr3-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1002\/MICR.22285"},{"key":"bibr4-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1002\/MICR.22159"},{"issue":"8","key":"bibr5-00034894241250177","first-page":"519","author":"Rashid M","year":"2012","journal-title":"J Coll Physicians Surg Pak"},{"key":"bibr6-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1002\/HED.25702"},{"key":"bibr7-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820984132"},{"key":"bibr8-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26118"},{"key":"bibr9-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1002\/JSO.25059"},{"key":"bibr10-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.1998.0001"},{"key":"bibr11-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000100810.21772.A1"},{"key":"bibr12-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1055\/S-2002-33017"},{"key":"bibr13-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199711000-00009"},{"key":"bibr14-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1055\/S-0030-1255336"},{"key":"bibr15-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1016\/J.IJOM.2021.07.014"},{"key":"bibr16-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1016\/J.BJPS.2020.10.094"},{"key":"bibr17-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1055\/S-0038-1639377"},{"key":"bibr18-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2018.11.002"},{"key":"bibr19-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1002\/MICR.22128"},{"key":"bibr20-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000065911.00623.BD"},{"key":"bibr21-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000240858.88538.e1"},{"key":"bibr22-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1002\/LARY.29706"},{"key":"bibr23-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1002\/MICR.22403"},{"key":"bibr24-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1002\/HED.25992"},{"key":"bibr25-00034894241250177","doi-asserted-by":"publisher","DOI":"10.1016\/J.JOMS.2019.07.016"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894241250177","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00034894241250177","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894241250177","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:30:49Z","timestamp":1777375849000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00034894241250177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,27]]},"references-count":25,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1177\/00034894241250177"],"URL":"https:\/\/doi.org\/10.1177\/00034894241250177","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,27]]}}}