Patient-Fitted Total Temporomandibular Joint Prosthesis: A Case Series

Yıl 2023, Cilt: 2 Sayı: 2, 35 - 37, 21.05.2023

Seçil Çubuk , Palin Çiftçioğlu Burak Bayram

Öz

The treatment protocol of patients having end-stage temporomandibular joint (TMJ) disorder using patient-fitted TMJ prosthesis
is presented in this case series. The prosthetic fossa and ramus components and the surgical guides were designed on the
basis of the final position of the maxilla-mandibular skeleton using Geomagic software (Morrisville, North Carolina, USA). The
prosthetic ramus component and the supporting frame of the fossa were produced using a titanium alloy. The fossa component
was constructed solely from ultra-high molecular weight polyethylene. Patient-fitted TMJ prosthesis was placed through high
submandibular and pre-auricular approach in 3 patients. No complication related to the operations was seen. Temporomandibular
joint reconstruction using patient-fitted TMJ prosthesis resulted in satisfying jaw function and skeletal relationships in patients
having end-stage TMJ disorder.

Anahtar Kelimeler

temporomandibular joint, custom made prosthesis, end-stage disease

Kaynakça

• 1. Aagaard, E., & Thygesen, T. (2014). A prospective, single-centre study on patient outcomes following temporomandibular joint replacement using a custommade Biomet TMJ prosthesis. International journal of oral and maxillofacial surgery, 43(10), 1229-1235.
• 2. Wolford, L. M., Mercuri, L. G., Schneiderman, E. D., Movahed, R., & Allen, W. (2015). Twenty-year followup study on a patient-fitted temporomandibular joint prosthesis: the Techmedica/TMJ Concepts device. Journal of Oral and Maxillofacial Surgery, 73(5), 952-960.
• 3. Lee, W. Y, Park, Y. W., & Kim, S. G. (2014). Comparison of costochondral graft and customized total joint reconstruction for treatments of temporomandibular joint replacement. Maxillofacial plastic and reconstructive surgery, 36(4), 135.
• 4. Medra, A. M. (2005). Follow up of mandibular costochondral grafts after release of ankylosis of the temporomandibular joints. British Journal of Oral and Maxillofacial Surgery, 43(2), 118-122.
• 5. Villanueva Alcojol, L., Monje Gil, F., González García, R., Moreno García, C., Serrano Gil, H., Maestre Rodríguez, Ó., ... & Mateo Arias, J. (2009). Costochondral graft with green-stick fracture used in reconstruction of the mandibular condyle: experience in 13 clinical cases.
• 6. McLean-Tooke, A., Aldridge, C., Waugh, S., Spickett, G. P., & Kay, L. (2009). Methotrexate, rheumatoid arthritis and infection risk-what is the evidence?. Rheumatology, 48(8), 867-871.
• 7. Scherrer, C. B., Mannion, A. F., Kyburz, D., Vogt, M., & Kramers‐de Quervain, I. A. (2013). Infection risk after orthopedic surgery in patients with inflammatory rheumatic diseases treated with immunosuppressive drugs. Arthritis care & research, 65(12), 2032-2040.