Cargando…
Considerations for the Use of Alloplastic Temporomandibular Joint Replacement in Irradiated Patients: Report of an Off-Label Indication
Background: Custom-made alloplastic temporomandibular joint replacement (ATMJR) is not validated in irradiated patients. However, in specific situations, after previous reconstructive surgical failures, the authors hypothesized the role of a customized ATMJR after radiotherapy. Methods: A 65-year-ol...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607587/ https://www.ncbi.nlm.nih.gov/pubmed/37892750 http://dx.doi.org/10.3390/jcm12206612 |
_version_ | 1785127576927207424 |
---|---|
author | Ângelo, David Faustino Maffia, Francesco Teschke, Marcus Sanz, David Galrito, Marta Cardoso, Henrique Marques, Rute Nabuco, Carlos |
author_facet | Ângelo, David Faustino Maffia, Francesco Teschke, Marcus Sanz, David Galrito, Marta Cardoso, Henrique Marques, Rute Nabuco, Carlos |
author_sort | Ângelo, David Faustino |
collection | PubMed |
description | Background: Custom-made alloplastic temporomandibular joint replacement (ATMJR) is not validated in irradiated patients. However, in specific situations, after previous reconstructive surgical failures, the authors hypothesized the role of a customized ATMJR after radiotherapy. Methods: A 65-year-old male patient was referred to Instituto Português da Face—Lisbon, Portugal—after failed attempts of mandibular reconstruction secondary to oral carcinoma resection and partial hemi-mandibulectomy plus radiotherapy of 60 total Grays. Primary reconstruction was performed with fibula free flap. Due to failure, secondary reconstructions were performed with osteosynthesis plate without success. The patient was unable to have adequate mastication and deglutition due to a severe crossbite. The authors treated the patient with an extended customized alloplastic temporomandibular joint replacement (F0M2). Results: With 3 years of follow-up, the patient showed an improvement in masticatory function, mandibular motion, pain levels, and overall quality of life. No complications were observed related to ATMJR. Conclusions: The presented case described how ATMJR, although not a validated option after radiotherapy, can be considered to restore functionality in complex cases with bone and soft tissues problems. |
format | Online Article Text |
id | pubmed-10607587 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-106075872023-10-28 Considerations for the Use of Alloplastic Temporomandibular Joint Replacement in Irradiated Patients: Report of an Off-Label Indication Ângelo, David Faustino Maffia, Francesco Teschke, Marcus Sanz, David Galrito, Marta Cardoso, Henrique Marques, Rute Nabuco, Carlos J Clin Med Article Background: Custom-made alloplastic temporomandibular joint replacement (ATMJR) is not validated in irradiated patients. However, in specific situations, after previous reconstructive surgical failures, the authors hypothesized the role of a customized ATMJR after radiotherapy. Methods: A 65-year-old male patient was referred to Instituto Português da Face—Lisbon, Portugal—after failed attempts of mandibular reconstruction secondary to oral carcinoma resection and partial hemi-mandibulectomy plus radiotherapy of 60 total Grays. Primary reconstruction was performed with fibula free flap. Due to failure, secondary reconstructions were performed with osteosynthesis plate without success. The patient was unable to have adequate mastication and deglutition due to a severe crossbite. The authors treated the patient with an extended customized alloplastic temporomandibular joint replacement (F0M2). Results: With 3 years of follow-up, the patient showed an improvement in masticatory function, mandibular motion, pain levels, and overall quality of life. No complications were observed related to ATMJR. Conclusions: The presented case described how ATMJR, although not a validated option after radiotherapy, can be considered to restore functionality in complex cases with bone and soft tissues problems. MDPI 2023-10-19 /pmc/articles/PMC10607587/ /pubmed/37892750 http://dx.doi.org/10.3390/jcm12206612 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ângelo, David Faustino Maffia, Francesco Teschke, Marcus Sanz, David Galrito, Marta Cardoso, Henrique Marques, Rute Nabuco, Carlos Considerations for the Use of Alloplastic Temporomandibular Joint Replacement in Irradiated Patients: Report of an Off-Label Indication |
title | Considerations for the Use of Alloplastic Temporomandibular Joint Replacement in Irradiated Patients: Report of an Off-Label Indication |
title_full | Considerations for the Use of Alloplastic Temporomandibular Joint Replacement in Irradiated Patients: Report of an Off-Label Indication |
title_fullStr | Considerations for the Use of Alloplastic Temporomandibular Joint Replacement in Irradiated Patients: Report of an Off-Label Indication |
title_full_unstemmed | Considerations for the Use of Alloplastic Temporomandibular Joint Replacement in Irradiated Patients: Report of an Off-Label Indication |
title_short | Considerations for the Use of Alloplastic Temporomandibular Joint Replacement in Irradiated Patients: Report of an Off-Label Indication |
title_sort | considerations for the use of alloplastic temporomandibular joint replacement in irradiated patients: report of an off-label indication |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607587/ https://www.ncbi.nlm.nih.gov/pubmed/37892750 http://dx.doi.org/10.3390/jcm12206612 |
work_keys_str_mv | AT angelodavidfaustino considerationsfortheuseofalloplastictemporomandibularjointreplacementinirradiatedpatientsreportofanofflabelindication AT maffiafrancesco considerationsfortheuseofalloplastictemporomandibularjointreplacementinirradiatedpatientsreportofanofflabelindication AT teschkemarcus considerationsfortheuseofalloplastictemporomandibularjointreplacementinirradiatedpatientsreportofanofflabelindication AT sanzdavid considerationsfortheuseofalloplastictemporomandibularjointreplacementinirradiatedpatientsreportofanofflabelindication AT galritomarta considerationsfortheuseofalloplastictemporomandibularjointreplacementinirradiatedpatientsreportofanofflabelindication AT cardosohenrique considerationsfortheuseofalloplastictemporomandibularjointreplacementinirradiatedpatientsreportofanofflabelindication AT marquesrute considerationsfortheuseofalloplastictemporomandibularjointreplacementinirradiatedpatientsreportofanofflabelindication AT nabucocarlos considerationsfortheuseofalloplastictemporomandibularjointreplacementinirradiatedpatientsreportofanofflabelindication |