Objective: Temporomandibular joint reconstructive surgery in a growing patient represents a challenging situation. Autogenous and alloplastic reconstructive options are being studied in literature; however, there are still some limitations. The objective of this case report is to evaluate a novel custom-made prosthetic system in a 12-year-old TMJ ankylosis patient. Case presentation: The patient had complaints of temporomandibular joint ankylosis and hypoplasia. The patient had already been operated two times with autogenous grafts. Swelling and tumefaction were apparent on the right side of the face. Mouth opening was 1.5 centimeters, with limitations in lateral and protrusive movements of the jaws. Hypertonic muscles and pain upon palpation were registered. There were no signs of luxation, fracture, or traumatic avulsion. After examination, unilateral TMJ ankylosis was apparent on TC scans. Revision surgery was planned with the use of true plastic temporomandibular joint customized prosthesis. The patient underwent a TMJ reconstruction surgery using CADCAM custom-made patient specific prosthesis. The follow up period of this patient was 46 months and showed successful healing with no complications. Conclusions: Replacement of TMJ with custom made alloplastic material that is reported can be considered as a safe and useful option for growing young individuals in selected cases.

Custom made/patient specific alloplastic total temporomandibular joint replacement in immature patient: a case report and short review of literature / F. Goker, A. Russillo, A. Baj, A.B. Giannì, G. Beltramini, D.S. Rossi, F.R.P. Buccellato, C. Mortellaro, M. Del Fabbro. - In: EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES. - ISSN 2284-0729. - 26:3 Suppl(2022 Dec), pp. 26-34. [10.26355/eurrev_202212_30792]

Custom made/patient specific alloplastic total temporomandibular joint replacement in immature patient: a case report and short review of literature

F. Goker
Primo
;
A. Russillo
Secondo
;
A. Baj;A.B. Giannì;G. Beltramini;F.R.P. Buccellato;C. Mortellaro;M. Del Fabbro
Ultimo
2022

Abstract

Objective: Temporomandibular joint reconstructive surgery in a growing patient represents a challenging situation. Autogenous and alloplastic reconstructive options are being studied in literature; however, there are still some limitations. The objective of this case report is to evaluate a novel custom-made prosthetic system in a 12-year-old TMJ ankylosis patient. Case presentation: The patient had complaints of temporomandibular joint ankylosis and hypoplasia. The patient had already been operated two times with autogenous grafts. Swelling and tumefaction were apparent on the right side of the face. Mouth opening was 1.5 centimeters, with limitations in lateral and protrusive movements of the jaws. Hypertonic muscles and pain upon palpation were registered. There were no signs of luxation, fracture, or traumatic avulsion. After examination, unilateral TMJ ankylosis was apparent on TC scans. Revision surgery was planned with the use of true plastic temporomandibular joint customized prosthesis. The patient underwent a TMJ reconstruction surgery using CADCAM custom-made patient specific prosthesis. The follow up period of this patient was 46 months and showed successful healing with no complications. Conclusions: Replacement of TMJ with custom made alloplastic material that is reported can be considered as a safe and useful option for growing young individuals in selected cases.
Temporomandibular joint; TMJ; Temporomandibular joint prosthesis; Temporomandibular joint replacement, Alloplastic; TMJR; Growing patient; Pediatric patient; Ankylosis
Settore MED/29 - Chirurgia Maxillofacciale
dic-2022
Article (author)
File in questo prodotto:
File Dimensione Formato  
32.pdf

accesso aperto

Tipologia: Publisher's version/PDF
Dimensione 894.14 kB
Formato Adobe PDF
894.14 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/951490
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 2
  • ???jsp.display-item.citation.isi??? 2
social impact