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- Title
Vascularized Bone Graft Reconstruction of the Temporomandibular Joint Using the Tunneled, Anchored Suture Technique.
- Authors
Seth, Rahul; Waters, Heather H; Knott, P Daniel
- Abstract
OBJECTIVE: To describe a novel technique that provides a simple, flexible and safe method to approximate and secure the neocondyle into the glenoid fossa in reconstruction of hemi-mandibulectomy defects. STUDY DESIGN: Retrospective chart review of a case series was performed. METHODS: Three patients underwent composite resection of the hemi-mandible with condylectomy. A minimally invasive tunneled suture, anchored with a miniplate to the zygomatic root, was used to approximate the neo-condyle into the glenoid fossa. Postoperative outcomes were assessed with clinical and radiographic measures. RESULTS: The median patient age was 64 years. Median follow-up was 19 months. All patients reported improved facial symmetry, jaw opening and acceptable dental occlusion. Post-operative CT imaging revealed sustained approximation within the TMJ without evidence of jaw drift. CONCLUSION: The described approach introduces a simple, safe, flexible and effective technique for neocondylar suspension and appropriate realignment during mandibular reconstruction.
- Subjects
TEMPOROMANDIBULAR joint; COMPUTED tomography; MANDIBLE surgery; OSTEONECROSIS; DENTAL occlusion; TREATMENT effectiveness
- Publication
Laryngoscope, 2010, Vol 120, Issue S4, pS236
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.21703