ArticleThe Laryngoscope2021
A Comprehensive Analysis of Complications of Free Flaps for Oromandibular Reconstruction.
Article in The Laryngoscope, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Bony Union in Maxilla and Mandible Free Flap Reconstruction: A Systematic Review and Meta-Analysis.Head & neck · 2026Pooled it
- Outcomes of Mandible Reconstruction Using Surgeon-Specific, Patient-Specific, and Conventional Plates.The Laryngoscope · 2026Article
- Multicenter Comparison of Modern Plating Options in Fibula, Scapula, and Osteocutaneous Radial Forearm Free Flaps.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- Three-Dimensional Surgical Planning in Mandibular Cancer: A Decade of Clinical Experience and Outcomes.Cancers · 2026Article
- From injury to reconstruction, utilizing staged technique in a self-inflicted facial gunshot wound: a case report.Journal of medical case reports · 2025Article
- Perioperative Risk Prediction in Head and Neck Free Flap Reconstructive Surgery.Acta anaesthesiologica Scandinavica · 2025Article
- In Vivo Assessment of High-Strength and Corrosion-Controlled Magnesium-Based Bone Implants.Bioengineering (Basel, Switzerland) · 2023Article
- Predictors of surgical site infection following reconstructive flap surgery: A multi-institutional analysis of 37,177 patients.Frontiers in surgery · 2023Article
- The Progress in Reconstruction of Mandibular Defect Caused by Osteoradionecrosis.Journal of oncology · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
objectives/hypothesisTo determine the frequency and management of short- and long-term complications related to oromandibular free flap reconstruction and identify potentially predictive factors of hardware complications. STUDY
designRetrospective chart review.
methodsA retrospective database from chart review was formed consisting of 266 oromandibular free flap reconstructions performed at a single institution over a 15-year period. Data were collected on demographics, surgical treatment, complications, and management of complications. Subgroup univariate and multivariate analyses were performed to compare patients with hardware complications and those without.
resultsEighty-one of 266 patients (30.5%) that underwent oromandibular reconstruction had an early complication (<4 weeks after surgery), and the most common complications were cervical wound dehiscence (11.3%) and fistulas (9.40%). Eighty of 266 patients (30.1%) had a long-term complication (>4 weeks after surgery) and the most common complication was plate exposure (26.7%). Univariate and multivariate analyses showed no association between whether there was hardware extrusion and fibula versus scapula, smoking history, virtual surgical planning (VSP), and dental implantation (P > .05). Only early complications (OR, 3.59, 95% CI, 1.83-7.05, P < .01) and patients undergoing oromandibular reconstruction for osteoradionecrosis (OR, 2.26, 95% CI, 1.10-4.64, P = .03) were strongly and independently associated with subsequent hardware extrusion on univariate analysis.
conclusionsBoth short- and long-term complications are common after oromandibular reconstruction. The most important predictive factor for a late complication is an early complication and prior radiation. There was no difference of plate complications among the various free flap types. Dental implantation and use of VSP were not associated with hardware complications. LEVEL OF EVIDENCE: 4 Laryngoscope, 131:1997-2005, 2021.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.