Updates on temporomandibular joint reconstruction following ablative surgery.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-10-01 Epub Date: 2024-07-26 DOI:10.1097/MOO.0000000000000994

Gregory D Disse, Zahrah Masheeb, Marianne Abouyared

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Abstract

Purpose of review: Considerations regarding reconstruction of the temporomandibular junction (TMJ) following ablation have been underreported in head and neck surgery literature. Here, we discuss the complexity of reconstructing this unique joint and highlight the benefits and drawbacks of free tissue transfer. Additionally, we address the growing role of customized alloplastic implants and virtual surgical planning technologies in TMJ reconstruction.

Recent findings: Technological advances in computerized manufacturing, 3D printing, and virtual reality have led to a recent burgeoning in patient-specific customization that may become the method of choice in these complex reconstruction cases.

Summary: Since trauma and malignancy rarely compromise the entire TMJ, guidelines currently do not exist regarding how to best reconstruct the region in these unique cases. The methods that work in ankylosis and other intrinsic joint diseases are likely less appropriate in this patient population. Recent literature has reported improved patient outcomes and reduced operative times with virtual surgical planning techniques that may optimize autogenous graft approaches.

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消融手术后颞下颌关节重建的最新进展。

综述目的：头颈外科文献中对消融术后重建颞下颌关节（TMJ）的相关考虑报道较少。在此，我们讨论了重建这一独特关节的复杂性，并强调了游离组织转移的优点和缺点。此外，我们还讨论了定制化异体植入物和虚拟手术规划技术在颞下颌关节重建中日益重要的作用：摘要：由于外伤和恶性肿瘤很少危及整个颞下颌关节，因此目前还没有关于如何在这些特殊病例中对该区域进行最佳重建的指南。对强直和其他内在关节疾病有效的方法可能不太适合这类患者。最近有文献报道，利用虚拟手术规划技术可以优化自体移植方法，从而改善患者的治疗效果并缩短手术时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.