Is an extended alloplastic replacement (eTMJR) device an option for the management of mandibular defects involving the temporomandibular joint? - A prospective cohort study
The reconstruction of large mandibular deficits involving the temporomandibular joint (TMJ) can be challenging. Extended alloplastic total temporomandibular joint reconstruction (eTMJR) is one treatment option.This single center, prospective, long-term observational study evaluates the objective and...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-03-01
|
| Series: | Advances in Oral and Maxillofacial Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667147623000869 |
| _version_ | 1827345340197502976 |
|---|---|
| author | Sabine S. Linsen Marcus Teschke Frederick Far Louis G. Mercuri |
| author_facet | Sabine S. Linsen Marcus Teschke Frederick Far Louis G. Mercuri |
| author_sort | Sabine S. Linsen |
| collection | DOAJ |
| description | The reconstruction of large mandibular deficits involving the temporomandibular joint (TMJ) can be challenging. Extended alloplastic total temporomandibular joint reconstruction (eTMJR) is one treatment option.This single center, prospective, long-term observational study evaluates the objective and subjective outcomes of 21 eTMJR subjects followed >5 years postoperatively. The long-term stability of the eTMJR was determined by collecting objective data (mandibular kinematics, contralateral surface electromyography (sEMG), maximum voluntary clenching (MVC)) and subjective oral health related quality of life (oHrQoL).Except for mandibular deviation on opening, the objective variables markedly improved. A statistically significant decrease was found for ipsilateral condylar hypermobility (P = 0.001), and an increase in bilateral MVC (ipsilateral P = 0.029, contralateral P = 0.015). The subjective outcomes 'diet consistency’ (P = 0.001) and 'physical distress' (P = 0.043) improved significantly.Based on the stability of the eTMJR devices over the study period, improved objective and subjective variables, eTMJR appears to be a safe and effective predictable management option for patients with large mandibular deficits including the TMJ. |
| first_indexed | 2024-03-07T23:05:13Z |
| format | Article |
| id | doaj.art-8355d4e867554459b0d072ebe34e59ee |
| institution | Directory Open Access Journal |
| issn | 2667-1476 |
| language | English |
| last_indexed | 2024-03-07T23:05:13Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Advances in Oral and Maxillofacial Surgery |
| spelling | doaj.art-8355d4e867554459b0d072ebe34e59ee2024-02-22T04:53:41ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762024-03-0113100474Is an extended alloplastic replacement (eTMJR) device an option for the management of mandibular defects involving the temporomandibular joint? - A prospective cohort studySabine S. Linsen0Marcus Teschke1Frederick Far2Louis G. Mercuri3Department of Prosthodontics, Preclinical Education and Dental Material Science, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany; Corresponding author. Welschnonnenstr. 17, D-53111, Bonn, Germany.Private Practice, Gröpelinger Heerstr. 406, Bremen, GermanyDepartment of Oral- and Maxillofacial Plastic Surgery, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, GermanyDepartment of Orthopaedic Surgery, Rush University Medical Center, 1620 W Harrison St, Chicago, IL, 60612, USA; Department of Bioengineering, University of Illinois Chicago, 851 S Morgan St, Chicago, IL, 60607, USAThe reconstruction of large mandibular deficits involving the temporomandibular joint (TMJ) can be challenging. Extended alloplastic total temporomandibular joint reconstruction (eTMJR) is one treatment option.This single center, prospective, long-term observational study evaluates the objective and subjective outcomes of 21 eTMJR subjects followed >5 years postoperatively. The long-term stability of the eTMJR was determined by collecting objective data (mandibular kinematics, contralateral surface electromyography (sEMG), maximum voluntary clenching (MVC)) and subjective oral health related quality of life (oHrQoL).Except for mandibular deviation on opening, the objective variables markedly improved. A statistically significant decrease was found for ipsilateral condylar hypermobility (P = 0.001), and an increase in bilateral MVC (ipsilateral P = 0.029, contralateral P = 0.015). The subjective outcomes 'diet consistency’ (P = 0.001) and 'physical distress' (P = 0.043) improved significantly.Based on the stability of the eTMJR devices over the study period, improved objective and subjective variables, eTMJR appears to be a safe and effective predictable management option for patients with large mandibular deficits including the TMJ.http://www.sciencedirect.com/science/article/pii/S2667147623000869eTMJRMandibular reconstructionElectromyographyMandibular functionoHrQoL |
| spellingShingle | Sabine S. Linsen Marcus Teschke Frederick Far Louis G. Mercuri Is an extended alloplastic replacement (eTMJR) device an option for the management of mandibular defects involving the temporomandibular joint? - A prospective cohort study Advances in Oral and Maxillofacial Surgery eTMJR Mandibular reconstruction Electromyography Mandibular function oHrQoL |
| title | Is an extended alloplastic replacement (eTMJR) device an option for the management of mandibular defects involving the temporomandibular joint? - A prospective cohort study |
| title_full | Is an extended alloplastic replacement (eTMJR) device an option for the management of mandibular defects involving the temporomandibular joint? - A prospective cohort study |
| title_fullStr | Is an extended alloplastic replacement (eTMJR) device an option for the management of mandibular defects involving the temporomandibular joint? - A prospective cohort study |
| title_full_unstemmed | Is an extended alloplastic replacement (eTMJR) device an option for the management of mandibular defects involving the temporomandibular joint? - A prospective cohort study |
| title_short | Is an extended alloplastic replacement (eTMJR) device an option for the management of mandibular defects involving the temporomandibular joint? - A prospective cohort study |
| title_sort | is an extended alloplastic replacement etmjr device an option for the management of mandibular defects involving the temporomandibular joint a prospective cohort study |
| topic | eTMJR Mandibular reconstruction Electromyography Mandibular function oHrQoL |
| url | http://www.sciencedirect.com/science/article/pii/S2667147623000869 |
| work_keys_str_mv | AT sabineslinsen isanextendedalloplasticreplacementetmjrdeviceanoptionforthemanagementofmandibulardefectsinvolvingthetemporomandibularjointaprospectivecohortstudy AT marcusteschke isanextendedalloplasticreplacementetmjrdeviceanoptionforthemanagementofmandibulardefectsinvolvingthetemporomandibularjointaprospectivecohortstudy AT frederickfar isanextendedalloplasticreplacementetmjrdeviceanoptionforthemanagementofmandibulardefectsinvolvingthetemporomandibularjointaprospectivecohortstudy AT louisgmercuri isanextendedalloplasticreplacementetmjrdeviceanoptionforthemanagementofmandibulardefectsinvolvingthetemporomandibularjointaprospectivecohortstudy |