{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T15:13:14Z","timestamp":1793373194812,"version":"4.5.0"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T00:00:00Z","timestamp":1657152000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oncol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Microvascular reconstruction remains challenging in previously operated and irradiated patients, especially when double flaps seem to be the only solution due to osteoradionecrosis. An alternative reconstructive option could be microvascular anastomosis to the temporal vessels to avoid the obligatory cervical incision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Materials<\/jats:title>\n                    <jats:p>All consecutive cases between January 2013 and 2020 that underwent either mandibular resection and reconstruction with a free fibula flap (FFF) and another soft tissue flap (group I) or pure intraoral resection and reconstruction with an FFF or radial forearm flap (RFF) with temporal microvascular anastomosis (group II) were included. Patients\u2019 general information, indication and extent of surgery, time of ischemia, time of total surgery, and duration of hospital stay as well as incidence of complications were retrospectively recorded and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventeen (group I) and 11 (group II) cases were included. In group I, FFF was combined with RFF (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a09), anterolateral thigh flap (ALT,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a07), or latissimus dorsi flap (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a01). Group II consisted of six FFFs and five RFFs. Operation time and hospitalization duration were significantly shorter in group II (\n                      <jats:italic>p\u00a0<\/jats:italic>\n                      &amp;lt;\u00a00.001 and\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.025), whereas ischemic time of FFF was significantly shorter in group I (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002). All patients in group I required a tracheostomy, while only four cases in group II did (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.004). The complication rate regarding hematoma removal, revision of anastomosis, flap loss, delirium, sepsis, pleural effusion, pneumonia, and pulmonary artery embolism showed no significant differences between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The superficial temporal vessels served as versatile recipient vessels for intraoral mandibular and soft tissue reconstruction and led to reduced operation time, hospitalization duration, and indication for a primary tracheostomy. Thus, this approach may help to avoid cervical incision for reconstruction in irradiated patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fonc.2022.879086","type":"journal-article","created":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T00:39:43Z","timestamp":1657154383000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":13,"title":["Superficial Temporal Artery and Vein as Alternative Recipient Vessels for Intraoral Reconstruction With Free Flaps to Avoid the Cervical Approach With the Resulting Need for Double Flap Transfer in Previously Treated Necks"],"prefix":"10.3389","volume":"12","author":[{"given":"Lucas M.","family":"Ritschl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minli","family":"Niu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Pippich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philia","family":"Schuh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niklas","family":"Rommel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas M.","family":"Fichter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus-Dietrich","family":"Wolff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"Weitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,7,7]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-020-03607-8","article-title":"Retrospective Analysis of Complications in 190 Mandibular Resections and Simultaneous Reconstructions With Free Fibula Flap, Iliac Crest Flap or Reconstruction Plate: A Comparative Single Centre Study","volume":"25","author":"Ritschl","year":"2021","journal-title":"Clin Oral Investig"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2020.11.013","article-title":"Outcomes of Microvascular Composite Reconstruction for Mandibular Osteoradionecrosis","volume":"59","author":"O'Connell","year":"2021","journal-title":"Br J Oral Maxillofac Surg"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2015.03.006","article-title":"Outcomes of Microvascular Free Flap Reconstruction for Mandibular Osteoradionecrosis: A Systematic Review","volume":"43","author":"Lee","year":"2015","journal-title":"J Craniomaxillofac Surg"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2014.07.003","article-title":"The Management of Osteoradionecrosis of the Jaws\u2013a Review","volume":"13","author":"Rice","year":"2015","journal-title":"Surgeon"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(87)90399-5","article-title":"Osteoradionecrosis: Clinical Experience and a Proposal for Classification","volume":"45","author":"Epstein","year":"1987","journal-title":"J Oral Maxillofac Surg"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1054\/ijom.2002.0332","article-title":"Osteoradionecrosis of the Jaws as a Side Effect of Radiotherapy of Head and Neck Tumour Patients\u2013a Report of a Thirty Year Retrospective Review","volume":"32","author":"Reuther","year":"2003","journal-title":"Int J Oral Maxillofac Surg"},{"key":"B7","article-title":"[Osteoradionecrosis. 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