Document Detail

Vascularized bone graft reconstruction of the temporomandibular joint using the tunneled, anchored suture technique.
MedLine Citation:
PMID:  21225834     Owner:  NLM     Status:  In-Process    
OBJECTIVE: To describe a novel technique that provides a simple, flexible and safe method to approximate and secure the neo-condyle into the glenoid fossa in reconstruction of hemi-mandibulectomy defects.
STUDY DESIGN: Retrospective chart review of a case series was performed.
METHODS: Three patients underwent composite resection of the hemi-mandible with condylectomy. A minimally invasive tunneled suture, anchored with a miniplate to the zygomatic root, was used to approximate the neo-condyle into the glenoid fossa. Postoperative outcomes were assessed with clinical and radiographic measures.
RESULTS: The median patient age was 64 years. Median follow-up was 19 months. All patients reported improved facial symmetry, jaw opening and acceptable dental occlusion. Post-operative CT imaging revealed sustained approximation within the TMJ without evidence of jaw drift.
CONCLUSION: The described approach introduces a simple, safe, flexible and effective technique for neo-condylar suspension and appropriate realignment during mandibular reconstruction.
Rahul Seth; Heather H Waters; P Daniel Knott
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  120 Suppl 4     ISSN:  1531-4995     ISO Abbreviation:  Laryngoscope     Publication Date:  2010  
Date Detail:
Created Date:  2011-01-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S236     Citation Subset:  IM    
Head and Neck Institute, Cleveland Clinic, Cleveland, OH, USA.
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