CLINICAL APPLICATION OF ARTIFICIAL CONDYLAR PROCESS FOR RECONSTRUCTING TEMPOROMANDIBULAR JOINT_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

HUANG Xiangdao , SHAO Zhanying , WANG Fasheng , DUAN Yi.

Oral Medical College, Beihua University, Jilin Jilin, 132013, P.R.China.;

Corresponding author：

Keywords：

Artificial condylar process，Temporomandibular joint reconstruction，Mandibular tumor，Condylar fracture

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

【Abstract】 Objective To assess the feasibility and clinical outcomes of artificial condylar process in reconstruction of the temporomandibular joint. Methods Between January 2005 and January 2010, the reconstructions of the temporomandibular joints with artificial condylar process were performed in 10 cases (11 sides, including 7 left sides and 4 right sides). There were 7 males and 3 females with an average age of 50 years (range, 40-68 years). Mandibular condyle defects were caused by mandible tumor in 7 patients with a mean disease duration of 15 months (range, 9-24 months) and by bilateral condylar fractures in 3 patients with the disease duration of 2, 3, and 2 days respectively. According to Neff classification, there were type M and A in 1 case, type M and B in 1 case, and type M in one side and subcondylar fracture in the other side in 1 case. Results Incisions in all patients healed by first intention, and no complication occurred. All cases were followed up 1 to 4 years, showed facial symmetry and good occluding relation, and the mouth opening was 22-38 mm (mean, 30 mm). No temporomandibular joint clicking or pain and no recurrence of tumor were observed. Most of the artificial condylar process were in good position except 1 deviated from the correct angle slightly. All the patients could have diet normally. Conclusion The results of temporomandibular joint reconstruction after tumor resection with artificial condylar process are good, but the clinical outcome for intracapsular condylar fracture is expected to be further verified.

Citation： HUANG Xiangdao,SHAO Zhanying,WANG Fasheng,DUAN Yi.. CLINICAL APPLICATION OF ARTIFICIAL CONDYLAR PROCESS FOR RECONSTRUCTING TEMPOROMANDIBULAR JOINT. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(1): 6-9. doi: Copy

1.	fractures. Mund Kiefer Gesichtschir, 1999, 3(1): 24-29.
2.	joint autogenous compared with alloplastic. Br J Oral Maxillofac Surg, 2002, 40(4): 296-299.
3.	in rheumatoid-induced disease. Br J Oral Maxillofac Surg, 2001, 39(1): 71-75.
4.	arthritis of temporomandibular joint with metal fossa-eminence hemijoint replacement prosthesis: an 8-year retrospective pilot study. J Oral Maxillofac Surg, 2004, 62(3): 320-328.
5.	fractures of the mandibular condyle by closed techniques. J Oral Maxillofac Surg, 2002, 60(7): 784-791.
6.	of open and closed treatment of intracapsular (diacapitular) condylar.
7.	fractures of the mandible. Int J Oral Maxillofac Surg, 2005, 34(6): 597-604.
8.	condylar replacements in tumor and trauma reconstruction: a prospective analysis of 131 cases with long-term follow-up. J Oral Maxillofac Surg, 2008, 66(12): 2515-2523.
9.	bone formation after alloplastic temporomandibular joint reconstruction.
10.	J Oral Maxillofac Surg, 1992, 50(9): 942-949.
11.	Alexander R. Total temporomandibular joint replacement. Who? What? When? Where? N Y State Dent J, 1999, 65(10): 28-32.
12.	Neff A, Kolk A, Deppe H, et al. New aspects for indications of surgical management of intra-articular and high temporomandibular dislocation.
13.	邱蔚六. 口腔颌面外科学. 6版. 北京: 人民卫生出版社, 2006: 318-347.
14.	胡敏. 颞下颌关节外科. 中华口腔医学杂志, 2004, 39(5): 433-434.
15.	Mercuri LG. The use of alloplastic prostheses for temporomandibular joint reconstruction. J Oral Maxillofac Surg, 2000, 58(1): 70-75.
16.	Saeed N, Hensher R, McLeod N, et al. Reconstruction of the temporomandibular.
17.	Saeed NR, Kent JN. A retrospective study of the costochondral graft in TMJ reconstruction. Int J Oral Maxillofac Surg, 2003, 32(6): 606-609.
18.	Saeed NR, McLeod NM, Hensher R. Temporomandibular joint replacement.
19.	Speculanda B, Hensher R, Powell D. Total prosthetic replacement of the TMJ: experience with two systems 1988-1997. Br J Oral Maxillofac Surg, 2000, 38(4): 360-369.
20.	Park J, Keller EE, Reid KI. Surgical management of advanced degenerative.
21.	Battali E, Keller EE. Surgical management of advanced osteoarthritis of the temporomandibular joint with metal fossa-eminence hemijoint replacement: 10-year retrospective study. J Oral Maxillofac Surg, 2008, 66(9): 1847-1855.
22.	Hlawitschka M, Eckelt U. Assessment of patients treated for intracapsular.
23.	Hlawitschka M, Loukota R, Eckelt U. Functional and radiological results.
24.	Marx RE, Cillo JE Jr, Broumand V, et al. Outcome analysis of mandibular.
25.	Lindqvist C, Söderholm AL, Hallikainen D, et al. Erosion and heterotopic.
26.	黄相道, 段毅, 王发生, 等. 钛板修复下颌骨节段性缺损18例随访. 中国组织工程研究与临床康复, 2008, 12(35): 6947-6950.
27.	张晓虎, 杨驰, 陈敏洁, 等. 2例个体化人工关节用于颞下颌关节置换的初步效果评价. 中国口腔颌面外科杂志, 2006, 4(6): 412-415.
28.	张善勇, 杨驰, 陈敏洁, 等. 快速原型技术在颞下颌关节重建中的应用. 中国口腔颌面外科杂志, 2009, 7(4): 306-311.

1. fractures. Mund Kiefer Gesichtschir, 1999, 3(1): 24-29.
2. joint autogenous compared with alloplastic. Br J Oral Maxillofac Surg, 2002, 40(4): 296-299.
3. in rheumatoid-induced disease. Br J Oral Maxillofac Surg, 2001, 39(1): 71-75.
4. arthritis of temporomandibular joint with metal fossa-eminence hemijoint replacement prosthesis: an 8-year retrospective pilot study. J Oral Maxillofac Surg, 2004, 62(3): 320-328.
5. fractures of the mandibular condyle by closed techniques. J Oral Maxillofac Surg, 2002, 60(7): 784-791.
6. of open and closed treatment of intracapsular (diacapitular) condylar.
7. fractures of the mandible. Int J Oral Maxillofac Surg, 2005, 34(6): 597-604.
8. condylar replacements in tumor and trauma reconstruction: a prospective analysis of 131 cases with long-term follow-up. J Oral Maxillofac Surg, 2008, 66(12): 2515-2523.
9. bone formation after alloplastic temporomandibular joint reconstruction.
10. J Oral Maxillofac Surg, 1992, 50(9): 942-949.
11. Alexander R. Total temporomandibular joint replacement. Who? What? When? Where? N Y State Dent J, 1999, 65(10): 28-32.
12. Neff A, Kolk A, Deppe H, et al. New aspects for indications of surgical management of intra-articular and high temporomandibular dislocation.
13. 邱蔚六. 口腔颌面外科学. 6版. 北京: 人民卫生出版社, 2006: 318-347.
14. 胡敏. 颞下颌关节外科. 中华口腔医学杂志, 2004, 39(5): 433-434.
15. Mercuri LG. The use of alloplastic prostheses for temporomandibular joint reconstruction. J Oral Maxillofac Surg, 2000, 58(1): 70-75.
16. Saeed N, Hensher R, McLeod N, et al. Reconstruction of the temporomandibular.
17. Saeed NR, Kent JN. A retrospective study of the costochondral graft in TMJ reconstruction. Int J Oral Maxillofac Surg, 2003, 32(6): 606-609.
18. Saeed NR, McLeod NM, Hensher R. Temporomandibular joint replacement.
19. Speculanda B, Hensher R, Powell D. Total prosthetic replacement of the TMJ: experience with two systems 1988-1997. Br J Oral Maxillofac Surg, 2000, 38(4): 360-369.
20. Park J, Keller EE, Reid KI. Surgical management of advanced degenerative.
21. Battali E, Keller EE. Surgical management of advanced osteoarthritis of the temporomandibular joint with metal fossa-eminence hemijoint replacement: 10-year retrospective study. J Oral Maxillofac Surg, 2008, 66(9): 1847-1855.
22. Hlawitschka M, Eckelt U. Assessment of patients treated for intracapsular.
23. Hlawitschka M, Loukota R, Eckelt U. Functional and radiological results.
24. Marx RE, Cillo JE Jr, Broumand V, et al. Outcome analysis of mandibular.
25. Lindqvist C, Söderholm AL, Hallikainen D, et al. Erosion and heterotopic.
26. 黄相道, 段毅, 王发生, 等. 钛板修复下颌骨节段性缺损18例随访. 中国组织工程研究与临床康复, 2008, 12(35): 6947-6950.
27. 张晓虎, 杨驰, 陈敏洁, 等. 2例个体化人工关节用于颞下颌关节置换的初步效果评价. 中国口腔颌面外科杂志, 2006, 4(6): 412-415.
28. 张善勇, 杨驰, 陈敏洁, 等. 快速原型技术在颞下颌关节重建中的应用. 中国口腔颌面外科杂志, 2009, 7(4): 306-311.

Chinese Journal of Reparative and Reconstructive Surgery

CLINICAL APPLICATION OF ARTIFICIAL CONDYLAR PROCESS FOR RECONSTRUCTING TEMPOROMANDIBULAR JOINT

Abstract Full text Figures/Tables Video References Cited by

Format

Content