{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T08:34:46Z","timestamp":1784795686944,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82271040"],"award-info":[{"award-number":["82271040"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82103473"],"award-info":[{"award-number":["82103473"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Stable condyle positioning is crucial for temporomandibular joint (TMJ) function, but its long\u2010term stability in patients undergoing segmental mandibulectomy with free fibular flap (FFF) reconstruction is unclear. This study aimed to assess the long\u2010term stability of TMJ parameters and the factors influencing it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included patients who underwent mandibular reconstruction using FFF with condyle preservation. CBCT was used to assess TMJ measurements at four time points: pre\u2010surgery (T0), 1\u2009\u00b1\u20091\u2009month (T1), 6\u2009\u00b1\u20091\u2009months (T2), and at least 20\u2009\u00b1\u20094\u2009months post\u2010surgery (T3). Parameters such as condylar inclination, position, dimensions, and joint spaces were measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 89 patients participated (51 with conventional freehand, 38 with 3D procedure). Condylar position changed over time: the operated side showed a slight downward shift, and the contralateral side showed inward and medial movement. Factors affecting condylar stability included surgical accuracy, mandible angle involvement, defect location (especially if crossing midline), and postoperative radiation therapy (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TMJ parameters are highly sensitive to skeletal changes post\u2010reconstruction with condylar preservation. Our findings suggest that condylar position lacks long\u2010term stability after surgery. Further studies are needed to assess clinical outcomes and disc\u2013condyle relationship after mandibular reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/odi.70176","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T06:46:05Z","timestamp":1767163565000},"page":"1082-1092","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Retrospective Analysis of Positional and Dimensional Changes in Temporomandibular Joint Following Mandibular Reconstruction With Fibula Flap and Influencing Factors Behind"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2442-8733","authenticated-orcid":false,"given":"Maged Ali","family":"Al\u2010Aroomi","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital Central South University  Changsha China"},{"name":"Institute of 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