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Temporomandibular joint reconstruction.

Mario J Imola1, Aaron Liddell

  • 1aColorado Craniofacial Center & Colorado Facial Plastic Surgery Center bDepartment Otolaryngology Head and Neck Surgery, University of Colorado cColorado Oral & Maxillofacial Surgery Center, Denver, Colorado, USA.

Current Opinion in Otolaryngology & Head and Neck Surgery
|June 28, 2016
PubMed
Summary
This summary is machine-generated.

Alloplastic temporomandibular joint replacement (APTMJR) is a highly successful solution for TMJ defects. Despite past concerns, long-term data show APTMJR is emerging as the clinical standard for TMJ reconstruction.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Head and Neck Surgery
  • Biomaterials Engineering

Background:

  • Temporomandibular joint (TMJ) reconstruction presents significant challenges for head and neck surgeons.
  • Clear clinical guidelines for TMJ reconstruction are lacking, despite its complexity.
  • This review addresses established and emerging solutions for TMJ defects.

Purpose of the Study:

  • To review established surgical modalities for TMJ reconstruction.
  • To highlight recent advancements in TMJ defect management.
  • To present alloplastic temporomandibular joint replacement (APTMJR) as a key development.

Main Methods:

  • Review of current literature on TMJ reconstruction techniques.
  • Focus on distraction osteogenesis and alloplastic temporomandibular joint replacement (APTMJR).
  • Analysis of long-term outcomes and complication data for APTMJR.

Main Results:

  • Established TMJ reconstruction methods include costochondral grafting, revascularized tissue transfer, distraction osteogenesis, and APTMJR.
  • Recent publications emphasize distraction osteogenesis and APTMJR.
  • APTMJR demonstrates high success and versatility for TMJ defects.

Conclusions:

  • Alloplastic total joint replacement (APTMJR) is becoming the clinical standard for TMJ defects, with long-term follow-up data supporting its efficacy.
  • Historical concerns regarding complications may hinder widespread acceptance of APTMJR.
  • Due to surgical complexity and limited training exposure, TMJ reconstruction with APTMJR is best managed at tertiary referral centers.