{"id":"https://openalex.org/W7225615229","doi":"https://doi.org/10.1097/scs.0000000000013532","title":"Predictors of Osteoradionecrosis Following Radiation Therapy for Head and Neck Squamous Cell Carcinoma: The Role of Dental Management and Disease Severity","display_name":"Predictors of Osteoradionecrosis Following Radiation Therapy for Head and Neck Squamous Cell Carcinoma: The Role of Dental Management and Disease Severity","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225615229","doi":"https://doi.org/10.1097/scs.0000000000013532","pmid":"https://pubmed.ncbi.nlm.nih.gov/43002756"},"language":"en","primary_location":{"id":"doi:10.1097/scs.0000000000013532","doi":"https://doi.org/10.1097/scs.0000000000013532","is_oa":false,"landing_page_url":"https://doi.org/10.1097/scs.0000000000013532","pdf_url":null,"source":{"id":"https://openalex.org/S36642063","display_name":"Journal of Craniofacial Surgery","issn_l":"1049-2275","issn":["1049-2275","1536-3732"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Craniofacial Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5042577093","display_name":"Thomas Ren","orcid":"https://orcid.org/0000-0001-7851-6646","observed_orcids":["https://orcid.org/0000-0001-7851-6646"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas Ren","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":"https://orcid.org/0000-0001-7851-6646","affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152720852","display_name":"Yurui Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yurui Zhang","raw_affiliation_strings":["University of Michigan School of Dentistry, Ann Arbor, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Michigan School of Dentistry, Ann Arbor, MI","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114830814","display_name":"Fares Lebbos","orcid":"https://orcid.org/0009-0004-0253-6607","observed_orcids":["https://orcid.org/0009-0004-0253-6607"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Fares Lebbos","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161324563","display_name":"Vincent Nguyen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vincent Nguyen","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101971663","display_name":"Katherine J. Zhu","orcid":"https://orcid.org/0000-0001-7221-230X","observed_orcids":["https://orcid.org/0000-0001-7221-230X","https://orcid.org/0000-0002-5433-5530"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Katherine J. Zhu","raw_affiliation_strings":["Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001832486","display_name":"Wassim Najjar","orcid":"https://orcid.org/0000-0002-3529-6249","observed_orcids":["https://orcid.org/0000-0002-3529-6249"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Wassim Najjar","raw_affiliation_strings":["Department of Otolaryngology\u2014Head & Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology\u2014Head & Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082280281","display_name":"Matthew J. Heron","orcid":"https://orcid.org/0000-0002-7578-8053","observed_orcids":["https://orcid.org/0000-0002-7578-8053"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew Heron","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161322505","display_name":"Alec J. Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alec J. Chen","raw_affiliation_strings":["University of Wisconsin School of Medicine, Madison, WI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Wisconsin School of Medicine, Madison, WI","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161329703","display_name":"Timothy Jiang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Timothy Jiang","raw_affiliation_strings":["University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035022255","display_name":"Asheal A. Davis","orcid":"https://orcid.org/0009-0007-3154-4886","observed_orcids":["https://orcid.org/0009-0007-3154-4886"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alexandra J. Davis","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089018512","display_name":"Charbel G. Saad","orcid":"https://orcid.org/0000-0003-0932-4362","observed_orcids":["https://orcid.org/0000-0003-0932-4362"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Charbel Saad","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008748861","display_name":"Edgar Soto","orcid":"https://orcid.org/0000-0003-4760-7347","observed_orcids":["https://orcid.org/0000-0003-4760-7347"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Edgar Soto","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045741414","display_name":"Richard J. Redett","orcid":"https://orcid.org/0000-0002-0082-5972","observed_orcids":["https://orcid.org/0000-0002-0082-5972"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard J. Redett","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038116149","display_name":"Pasha Shakoori","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Pasha Shakoori","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103735041","display_name":"Robin Yang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robin Yang","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12198","display_name":"Oral health in cancer treatment","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12198","display_name":"Oral health in cancer treatment","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11359","display_name":"Effects of Radiation Exposure","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/osteoradionecrosis","display_name":"osteoradionecrosis","score":0.9980000257492065},{"id":"https://openalex.org/keywords/head-and-neck-squamous-cell-carcinoma","display_name":"head and neck squamous cell carcinoma","score":0.9950000047683716},{"id":"https://openalex.org/keywords/radiotherapy-complications","display_name":"radiotherapy complications","score":0.8899999856948853},{"id":"https://openalex.org/keywords/dental-management","display_name":"dental management","score":0.7369999885559082},{"id":"https://openalex.org/keywords/smoking-history","display_name":"smoking history","score":0.8130000233650208},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.5759999752044678}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9805999994277954},{"id":"https://openalex.org/C2780037786","wikidata":"https://www.wikidata.org/wiki/Q3357479","display_name":"Osteoradionecrosis","level":3,"score":0.965499997138977},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.6657000184059143},{"id":"https://openalex.org/C2776833033","wikidata":"https://www.wikidata.org/wiki/Q1783924","display_name":"Head and neck squamous-cell carcinoma","level":4,"score":0.5892000198364258},{"id":"https://openalex.org/C2776530083","wikidata":"https://www.wikidata.org/wiki/Q1783924","display_name":"Head and neck cancer","level":3,"score":0.5728999972343445},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5454999804496765},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5091000199317932},{"id":"https://openalex.org/C2994460389","wikidata":"https://www.wikidata.org/wiki/Q681817","display_name":"Epidermoid carcinoma","level":3,"score":0.5076000094413757},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5042999982833862},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.4740999937057495},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4602000117301941},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.44179999828338623},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.42100000381469727},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.40139999985694885},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.37400001287460327},{"id":"https://openalex.org/C2779384505","wikidata":"https://www.wikidata.org/wiki/Q17007513","display_name":"Concomitant","level":2,"score":0.32659998536109924},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.3138999938964844},{"id":"https://openalex.org/C3018411727","wikidata":"https://www.wikidata.org/wiki/Q3867488","display_name":"Head and neck","level":2,"score":0.2784000039100647},{"id":"https://openalex.org/C2777546739","wikidata":"https://www.wikidata.org/wiki/Q33525","display_name":"Carcinoma","level":2,"score":0.26249998807907104},{"id":"https://openalex.org/C3019992690","wikidata":"https://www.wikidata.org/wiki/Q92767510","display_name":"Basal cell","level":2,"score":0.25920000672340393},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.25850000977516174},{"id":"https://openalex.org/C54510867","wikidata":"https://www.wikidata.org/wiki/Q2508462","display_name":"Oral and maxillofacial pathology","level":2,"score":0.25760000944137573},{"id":"https://openalex.org/C2778474501","wikidata":"https://www.wikidata.org/wiki/Q355817","display_name":"Neck dissection","level":3,"score":0.2513999938964844},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.25119999051094055}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1097/scs.0000000000013532","doi":"https://doi.org/10.1097/scs.0000000000013532","is_oa":false,"landing_page_url":"https://doi.org/10.1097/scs.0000000000013532","pdf_url":null,"source":{"id":"https://openalex.org/S36642063","display_name":"Journal of Craniofacial Surgery","issn_l":"1049-2275","issn":["1049-2275","1536-3732"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Craniofacial Surgery","raw_type":"journal-article"},{"id":"pmid:43002756","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43002756","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of craniofacial surgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W1982300290","https://openalex.org/W2017407780","https://openalex.org/W2023080960","https://openalex.org/W2042170975","https://openalex.org/W2097572956","https://openalex.org/W2162759406","https://openalex.org/W2494101519","https://openalex.org/W2592798724","https://openalex.org/W2601874475","https://openalex.org/W2625113659","https://openalex.org/W2792602890","https://openalex.org/W2915449272","https://openalex.org/W3207449894","https://openalex.org/W4214879887","https://openalex.org/W4321373921","https://openalex.org/W4378952228","https://openalex.org/W4386909812","https://openalex.org/W4394935581","https://openalex.org/W4394984639","https://openalex.org/W4396562490","https://openalex.org/W4401214272","https://openalex.org/W7118091086"],"related_works":["https://openalex.org/W3094065431","https://openalex.org/W2918946500","https://openalex.org/W4394876790","https://openalex.org/W3140196132","https://openalex.org/W2896629008","https://openalex.org/W2768579120","https://openalex.org/W4292413480","https://openalex.org/W4406080152","https://openalex.org/W3035317527","https://openalex.org/W4416815548"],"abstract_inverted_index":{"BACKGROUND:":[0],"Osteoradionecrosis":[1],"(ORN)":[2],"is":[3],"a":[4,43,58],"debilitating":[5],"complication":[6],"of":[7,22,47,92,189,199,243],"radiation":[8],"therapy":[9],"(RT)":[10],"for":[11],"head":[12,53],"and":[13,27,54,64,71,73,94,118,131,165,231,240],"neck":[14,55],"squamous":[15],"cell":[16],"carcinoma":[17],"(HNSCC).":[18],"The":[19,40,78],"protective":[20],"role":[21],"preradiation":[23],"dental":[24,33,74,236,247],"clearance":[25],"(PRDC)":[26],"the":[28],"risk":[29,218],"associated":[30,156,195,205,214,226],"with":[31,49,130,157,196,206,215,227],"postradiation":[32],"treatment":[34],"(PRDT)":[35],"remain":[36],"incompletely":[37],"defined.":[38],"METHODS:":[39],"authors":[41],"performed":[42],"retrospective":[44],"cohort":[45],"study":[46],"patients":[48,95,116,122,129,142,184],"HNSCC":[50],"who":[51,143,185],"completed":[52],"RT":[56,208,246],"at":[57],"single":[59],"institution":[60],"between":[61],"March":[62],"2000":[63],"January":[65],"2024.":[66],"Demographic,":[67],"oncologic,":[68],"surgical,":[69],"radiation,":[70],"oral":[72],"variables":[75],"were":[76,96,126,139,171],"collected.":[77],"primary":[79],"outcome":[80],"was":[81,86,112,154,181,193,203,212,223],"ORN.":[82],"Multivariable":[83],"logistic":[84],"regression":[85],"used":[87],"to":[88],"evaluate":[89],"independent":[90,172],"predictors":[91,173],"ORN,":[93],"further":[97],"stratified":[98],"by":[99],"combined":[100],"PRDC/PRDT":[101],"status.":[102,191],"RESULTS:":[103],"Among":[104],"462":[105],"patients,":[106],"47":[107],"developed":[108],"ORN":[109,124,158,179,217,222],"(10.2%).":[110],"PRDC":[111,133,153,190,192,211],"documented":[113],"in":[114,120,219],"182":[115],"(39.4%)":[117],"PRDT":[119,145,187,200],"88":[121],"(19.0%).":[123],"rates":[125],"similar":[127],"among":[128,141,183],"without":[132],"(10.4%":[134],"versus":[135,147],"10.0%,":[136],"P=0.88)":[137],"but":[138,202],"higher":[140,197],"underwent":[144,186],"(23.9%":[146],"7.0%,":[148],"P<0.001).":[149],"On":[150],"multivariable":[151],"analysis,":[152,178],"not":[155,204,213],"development":[159],"(P=0.474),":[160],"whereas":[161],"PRDT,":[162,228],"smoking":[163,229,238],"history,":[164,230],"free":[166],"fibula":[167],"flap":[168],"(FFF)":[169],"reconstruction":[170],"(all":[174],"P<0.05).":[175],"In":[176],"subgroup":[177],"incidence":[180],"highest":[182],"regardless":[188],"independently":[194],"odds":[198],"(P=0.008)":[201],"delayed":[207],"initiation.":[209],"CONCLUSIONS:":[210],"reduced":[216],"this":[220],"cohort.":[221],"most":[224],"strongly":[225],"FFF":[232],"reconstruction,":[233],"supporting":[234],"risk-stratified":[235],"surveillance,":[237],"cessation,":[239],"careful":[241],"avoidance":[242],"traumatic":[244],"post":[245],"interventions":[248],"when":[249],"clinically":[250],"feasible.":[251]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}
