Evidence map›Paper›PMID 42318825›Full record

ArticleThe Laryngoscope2026

Outcomes of Mandible Reconstruction Using Surgeon-Specific, Patient-Specific, and Conventional Plates.

Nina Patel, Autefeh Sajjadi, Andrea Park, Rahul Seth, Chase Heaton, Mary Jue Xu, Katherine Wai, Ilya Likhterov, P Daniel Knott

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nina PatelDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0009-0001-1143-1290
Autefeh SajjadiDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.
Andrea ParkDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.
Rahul SethDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0000-0003-2775-530X
Chase HeatonDivision of Oncologic Head and Neck Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.
Mary Jue XuDivision of Oncologic Head and Neck Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0000-0002-4996-6362
Katherine WaiDivision of Oncologic Head and Neck Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0000-0001-8180-4542
Ilya LikhterovDivision of Oncologic Head and Neck Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.
P Daniel KnottDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0000-0002-8986-5961

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare operative metrics, postoperative complications, and radiographic osseous union among surgeon-specific plates (SSPs), patient-specific plates (PSPs), and conventional un-bent plates (CPs) in microvascular mandibular reconstruction.

methodsA retrospective review was performed of 171 patients who underwent osseous mandibular free flap reconstruction from January 2020-January 2025. Patients were stratified by plating technique: SSP (n = 52), PSP with computer-aided design/manufacture (CAD/CAM) (n = 58), and CP (n = 61). Primary outcomes included operative time, hospital length of stay, and postoperative complications. Secondary outcomes included osteotomy characteristics, CT-based radiographic osseous union, and time-to-Grade 2 union. Multivariate analysis evaluated factors associated with nonunion.

resultsBaseline demographics, defect characteristics, and radiation exposure were comparable across cohorts. Secondary reconstruction procedures were more frequent in the SSP cohort compared with the PSP cohort (p = 0.05), and SSPs were more commonly used in complete (angle to angle) mandibular reconstructions. Operative time, hospital length of stay, and ischemia time did not differ significantly by plating method. Postoperative complication rates were low and similar across groups, with no significant differences in infection, hematoma, or reoperation; however, low event rates may have limited power to detect small but clinically meaningful differences between cohorts. Radiographic nonunion was uncommon and did not differ by plating. Time-to-Grade 2 osseous union was similar across plating strategies. Multivariate analysis demonstrated a significant association between nonunion and postoperative complications. Inter-rater reliability for union grading was high.

conclusionMicrovascular mandibular reconstruction demonstrates comparable clinical and radiographic outcomes regardless of plate selection. Plate selection and CAD/CAM use should be driven by surgeon choice and reconstructive complexity. LEVEL OF EVIDENCE: 3:

Indexed as

Bone PlatesMandibular ReconstructionAdultAgedComputer-Aided DesignFemaleFree Tissue FlapsHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment Outcomemandibular reconstructionsurgeon‐specific platessurgical outcomesVSP plates

Identifiers

PMID42318825
PMCPMC13669963

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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.