title: Mandibular Condyle Reimplantation and Free Bone Grafting: Considerations to Increase Its Efficacy.
abstract: BACKGROUND
  Mandibulectomy and disarticulation, resection of the lesion, and subsequent reimplantation of the condyle is a method to manage benign mandibular intraosseous lesions, involving the ramus but not extending to the mandibular condyle.
  
  
  OBJECTIVE
  This article presents some considerations to increase the efficacy of this method.
  
  
  METHODS
  Archived files of the patients that this method had been used for mandibular reconstruction were reevaluated. Patients were recalled and favorable and unfavorable results in reconstruction of the mandible with this technique were evaluated.
  
  
  RESULTS
  Intact large segment of the condyle is necessary for success of this procedure.
  
  
  CONCLUSIONS
  Inferior alveolar nerve anastomosis, coronoidectomy, concomitant free bone grafting with adequate width, and attention to the intraoral soft tissue incision design will decrease unfavorable outcomes.
authors.affiliation: *Oral and Maxillofacial Diseases Research Center, Oral and Maxillofacial Surgery†Dental Research Center, Oral and Maxillofacial Pathology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Amin
authors.initials: A
authors.lastname: Rahpeyma
authors.forename: Saeedeh
authors.initials: S
authors.lastname: Khajehahmadi
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001860:Bone Plates; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008335:Mandibular Condyle / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery; D008340:Mandibular Nerve / Q000601:surgery; D063175:Mandibular Reconstruction / Q000295:instrumentation / Q000379:methods; D010027:Osteotomy / Q000379:methods; D012092:Replantation / Q000379:methods*; D016896:Treatment Outcome