Functional reconstruction of the glenoid fossa utilizing a pedicled temporal osteomuscular flap
Current techniques in management of end stage pathology of the temporomandibular joint (TMJ) include the use of alloplastic joint reconstruction. A polyethylene glenoid fossa prosthesis is a necessity of this treatment as it provides a stable platform for function of the metal alloy condylar head. A...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-03-01
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| Series: | Oral and Maxillofacial Surgery Cases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214541922000013 |
| _version_ | 1828426190113734656 |
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| author | Vincent M. Aquino, D.D.S., M.D. Jack P. Rock, M.D. Kyle D. Perry, M.D. Benjamin T. Barbetta, D.M.D., M.D. |
| author_facet | Vincent M. Aquino, D.D.S., M.D. Jack P. Rock, M.D. Kyle D. Perry, M.D. Benjamin T. Barbetta, D.M.D., M.D. |
| author_sort | Vincent M. Aquino, D.D.S., M.D. |
| collection | DOAJ |
| description | Current techniques in management of end stage pathology of the temporomandibular joint (TMJ) include the use of alloplastic joint reconstruction. A polyethylene glenoid fossa prosthesis is a necessity of this treatment as it provides a stable platform for function of the metal alloy condylar head. Additionally, the fossa prosthesis limits superior and posterior movement of the reconstructed joint which prevents complications such as migration of the condylar prosthesis into the middle cranial fossa and ear, ankylosis, and pain.When a pathologic process affects the glenoid fossa alone, alloplastic joint reconstruction becomes a less desirable treatment option. Lack of osseous structure along the temporal bone and zygomatic arch can impact the surgeon's ability to fixate a glenoid fossa prosthesis. Additionally, resection of an uninvolved condylar head in situations where there is no advanced pathology would provide a functional solution, but may be overly aggressive and potentially unnecessary.The following is our experience with utilizing a pedicled temporal osteomuscular flap to reconstruct an acquired defect of the glenoid fossa in a 42-year-old male with a diffuse-type tenosynovial giant cell tumor. In this case the mandibular condyle was not affected by the pathology. |
| first_indexed | 2024-12-10T16:42:03Z |
| format | Article |
| id | doaj.art-72f6db195a9a4e8c89debf872edbb5de |
| institution | Directory Open Access Journal |
| issn | 2214-5419 |
| language | English |
| last_indexed | 2024-12-10T16:42:03Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral and Maxillofacial Surgery Cases |
| spelling | doaj.art-72f6db195a9a4e8c89debf872edbb5de2022-12-22T01:41:11ZengElsevierOral and Maxillofacial Surgery Cases2214-54192022-03-0181100243Functional reconstruction of the glenoid fossa utilizing a pedicled temporal osteomuscular flapVincent M. Aquino, D.D.S., M.D.0Jack P. Rock, M.D.1Kyle D. Perry, M.D.2Benjamin T. Barbetta, D.M.D., M.D.3Henry Ford Hospital, 2799 West Grand Blvd., Detroit, MI, 48202, United StatesHenry Ford Hospital, 2799 West Grand Blvd., Detroit, MI, 48202, United StatesHenry Ford Hospital, 2799 West Grand Blvd., Detroit, MI, 48202, United StatesCorresponding author.; Henry Ford Hospital, 2799 West Grand Blvd., Detroit, MI, 48202, United StatesCurrent techniques in management of end stage pathology of the temporomandibular joint (TMJ) include the use of alloplastic joint reconstruction. A polyethylene glenoid fossa prosthesis is a necessity of this treatment as it provides a stable platform for function of the metal alloy condylar head. Additionally, the fossa prosthesis limits superior and posterior movement of the reconstructed joint which prevents complications such as migration of the condylar prosthesis into the middle cranial fossa and ear, ankylosis, and pain.When a pathologic process affects the glenoid fossa alone, alloplastic joint reconstruction becomes a less desirable treatment option. Lack of osseous structure along the temporal bone and zygomatic arch can impact the surgeon's ability to fixate a glenoid fossa prosthesis. Additionally, resection of an uninvolved condylar head in situations where there is no advanced pathology would provide a functional solution, but may be overly aggressive and potentially unnecessary.The following is our experience with utilizing a pedicled temporal osteomuscular flap to reconstruct an acquired defect of the glenoid fossa in a 42-year-old male with a diffuse-type tenosynovial giant cell tumor. In this case the mandibular condyle was not affected by the pathology.http://www.sciencedirect.com/science/article/pii/S2214541922000013Glenoid fossaReconstructionTemporomandibular jointTMJGiant cell tumor |
| spellingShingle | Vincent M. Aquino, D.D.S., M.D. Jack P. Rock, M.D. Kyle D. Perry, M.D. Benjamin T. Barbetta, D.M.D., M.D. Functional reconstruction of the glenoid fossa utilizing a pedicled temporal osteomuscular flap Oral and Maxillofacial Surgery Cases Glenoid fossa Reconstruction Temporomandibular joint TMJ Giant cell tumor |
| title | Functional reconstruction of the glenoid fossa utilizing a pedicled temporal osteomuscular flap |
| title_full | Functional reconstruction of the glenoid fossa utilizing a pedicled temporal osteomuscular flap |
| title_fullStr | Functional reconstruction of the glenoid fossa utilizing a pedicled temporal osteomuscular flap |
| title_full_unstemmed | Functional reconstruction of the glenoid fossa utilizing a pedicled temporal osteomuscular flap |
| title_short | Functional reconstruction of the glenoid fossa utilizing a pedicled temporal osteomuscular flap |
| title_sort | functional reconstruction of the glenoid fossa utilizing a pedicled temporal osteomuscular flap |
| topic | Glenoid fossa Reconstruction Temporomandibular joint TMJ Giant cell tumor |
| url | http://www.sciencedirect.com/science/article/pii/S2214541922000013 |
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