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Distraction Osteogenesis and Customized Temporomandibular Joint Prosthesis in the Reconstruction of a Large Mandibular Defect - A Case Report
THE RATIONALE: Mandibular resections involve esthetic and functional impairment and impose a challenge during the reconstruction. This case report is a successful reconstruction with distraction osteogenesis (DO) and customized temporomandibular joint (TMJ) prosthesis. PATIENT CONCERNS: A 51-year-ol...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8407646/ https://www.ncbi.nlm.nih.gov/pubmed/34522682 http://dx.doi.org/10.4103/ams.ams_266_18 |
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author | Cavalcante, Weber Ceo Espinheira, Paula Rizerio D’Andrea Sardinha, Sandra de Cássia Santana Rodrigues, Daniel Barros Ramalho, Luciana M. Pedreira |
author_facet | Cavalcante, Weber Ceo Espinheira, Paula Rizerio D’Andrea Sardinha, Sandra de Cássia Santana Rodrigues, Daniel Barros Ramalho, Luciana M. Pedreira |
author_sort | Cavalcante, Weber Ceo |
collection | PubMed |
description | THE RATIONALE: Mandibular resections involve esthetic and functional impairment and impose a challenge during the reconstruction. This case report is a successful reconstruction with distraction osteogenesis (DO) and customized temporomandibular joint (TMJ) prosthesis. PATIENT CONCERNS: A 51-year-old male patient presented with a complaint of facial asymmetry, mastication, and speech difficulties. DIAGNOSIS: As the patient had undergone a hemimandibulectomy procedure 20 years ago, clinical examination showed facial asymmetry. Radiographic examination exhibited the defect and a radiopaque image representing Kirschner's wire. TREATMENT: DO by bone transport was performed, followed by dental implant and TMJ prosthesis placement. OUTCOMES: DO is a viable treatment option in resections, even when the defect was generated by an ancient injury. The follow-up is around 7 years after the osteogenic distraction, with no complaints and functional capacity. TAKE-AWAY LESSONS: The major challenge in mandibular reconstructions through DO is to reproduce the curve of the arch. |
format | Online Article Text |
id | pubmed-8407646 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-84076462021-09-13 Distraction Osteogenesis and Customized Temporomandibular Joint Prosthesis in the Reconstruction of a Large Mandibular Defect - A Case Report Cavalcante, Weber Ceo Espinheira, Paula Rizerio D’Andrea Sardinha, Sandra de Cássia Santana Rodrigues, Daniel Barros Ramalho, Luciana M. Pedreira Ann Maxillofac Surg Case Report – TMJ Pathologies THE RATIONALE: Mandibular resections involve esthetic and functional impairment and impose a challenge during the reconstruction. This case report is a successful reconstruction with distraction osteogenesis (DO) and customized temporomandibular joint (TMJ) prosthesis. PATIENT CONCERNS: A 51-year-old male patient presented with a complaint of facial asymmetry, mastication, and speech difficulties. DIAGNOSIS: As the patient had undergone a hemimandibulectomy procedure 20 years ago, clinical examination showed facial asymmetry. Radiographic examination exhibited the defect and a radiopaque image representing Kirschner's wire. TREATMENT: DO by bone transport was performed, followed by dental implant and TMJ prosthesis placement. OUTCOMES: DO is a viable treatment option in resections, even when the defect was generated by an ancient injury. The follow-up is around 7 years after the osteogenic distraction, with no complaints and functional capacity. TAKE-AWAY LESSONS: The major challenge in mandibular reconstructions through DO is to reproduce the curve of the arch. Wolters Kluwer - Medknow 2021 2021-07-24 /pmc/articles/PMC8407646/ /pubmed/34522682 http://dx.doi.org/10.4103/ams.ams_266_18 Text en Copyright: © 2021 Annals of Maxillofacial Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report – TMJ Pathologies Cavalcante, Weber Ceo Espinheira, Paula Rizerio D’Andrea Sardinha, Sandra de Cássia Santana Rodrigues, Daniel Barros Ramalho, Luciana M. Pedreira Distraction Osteogenesis and Customized Temporomandibular Joint Prosthesis in the Reconstruction of a Large Mandibular Defect - A Case Report |
title | Distraction Osteogenesis and Customized Temporomandibular Joint Prosthesis in the Reconstruction of a Large Mandibular Defect - A Case Report |
title_full | Distraction Osteogenesis and Customized Temporomandibular Joint Prosthesis in the Reconstruction of a Large Mandibular Defect - A Case Report |
title_fullStr | Distraction Osteogenesis and Customized Temporomandibular Joint Prosthesis in the Reconstruction of a Large Mandibular Defect - A Case Report |
title_full_unstemmed | Distraction Osteogenesis and Customized Temporomandibular Joint Prosthesis in the Reconstruction of a Large Mandibular Defect - A Case Report |
title_short | Distraction Osteogenesis and Customized Temporomandibular Joint Prosthesis in the Reconstruction of a Large Mandibular Defect - A Case Report |
title_sort | distraction osteogenesis and customized temporomandibular joint prosthesis in the reconstruction of a large mandibular defect - a case report |
topic | Case Report – TMJ Pathologies |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8407646/ https://www.ncbi.nlm.nih.gov/pubmed/34522682 http://dx.doi.org/10.4103/ams.ams_266_18 |
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