{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T18:48:07Z","timestamp":1773600487810,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Tumor involvement of the posterior mandible often requires resection of the mandibular condyle and associated soft tissue. This study explores clinical and patient\u2010reported outcomes (PROs) associated with condyle preservation versus resection during reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study examined patients who underwent bony free flap reconstruction of posterolateral mandible defects from 2017 to 2021. Major clinical outcomes included length of stay (LOS), duration of follow\u2010up, cancer recurrence, and all\u2010cause mortality. PROs were assessed using the validated FACE\u2010Q Head and Neck Cancer module survey for overall, short\u2010term (0\u20131 year postoperatively), and long\u2010term (&gt;\u20091 year postoperatively) outcomes. The cohorts included (1) condyle preservation, (2) condyle resection with condyle autotransplantation, and (3) condyle resection without autotransplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      94 patients were included in the study. Major clinical outcomes did not significantly differ between cohorts (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.439). Compared to the condyle\u2010resected cohort, condyle\u2010preserved patients overall reported superior Overall Facial Appearance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.035), Eating Function (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.034), Appearance\/Face Distress (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.020), Eating Distress (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017), and Cancer Worry (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). Long\u2010term assessments revealed more marked advantages for in\u2010situ condyle preservation compared to condyle resection in Overall Facial Appearance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.022), Eating Function (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004), Smiling Function (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.035), Swallowing Function (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), Eating Distress (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006), and Cancer Worry (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011). Among condyle\u2010resected patients, condyle autograft did not significantly improve FACE\u2010Q scores (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.177).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In\u2010situ condyle preservation yielded superior PROs compared to condyle resection \u00b1 condyle autograft, particularly over 1 year postoperatively. Major clinical outcomes did not significantly differ.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70182","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T09:20:34Z","timestamp":1768987234000},"page":"511-524","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of the Condyle in Posterior Mandibular Reconstruction: Major Clinical and Patient\u2010Reported Outcomes"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5148-0214","authenticated-orcid":false,"given":"Janet C.","family":"Coleman\u2010Belin","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin K.","family":"Zhang","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zack","family":"Cohen","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Speech Pathology, Center for Speech and Hearing Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Olla","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York 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R.","family":"Cracchiolo","sequence":"additional","affiliation":[{"name":"Head and Neck Oncology Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7758-8015","authenticated-orcid":false,"given":"Farooq","family":"Shahzad","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0329-4422","authenticated-orcid":false,"given":"Jonas A.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York 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