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Complications in Total Temporomandibular Joint Reconstruction

  • Chapter
Contemporary Management of Temporomandibular Disorders

Abstract

Total joint reconstruction (TJR) is a challenging surgery that tests the surgical team. A successful outcome depends on the surgeon who is prepared to anticipate complications and has the knowledge to manage problems when they arise. In this chapter, TMJ-specific complications are discussed, and strategies are recommended to diagnose and handle them. More importantly, emphasis is placed on prevention, so that surgery proceeds more smoothly. The information also helps the surgical team in the preoperative informed consent discussion with the patient.

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References

  1. Kurtz SM, Lau E, Watson H, Schmier JK, Parvizi J. Economic burden of periprosthetic joint infection in the United States. J Arthroplast. 2012;27(8 Suppl):61–5.e1.

    Google Scholar 

  2. Levent T, Vandevelde D, Delobelle JM, Labourdette P, Letendard J, Lesage P, et al. Infection risk prevention following total knee arthroplasty. Orthop Traumatol Surg Res. 2010;96(1):49–56.

    CAS  PubMed  Google Scholar 

  3. Lindeque B, Hartman Z, Noshchenko A, Cruse M. Infection after primary total hip arthroplasty. Orthopedics. 2014;37(4):257–65.

    PubMed  Google Scholar 

  4. McKenzie WS, Louis PJ. Temporomandibular total joint prosthesis infections: a ten-year retrospective analysis. Int J Oral Maxillofac Surg. 2017;46(5):596–602.

    CAS  PubMed  Google Scholar 

  5. Wolford LM, Rodrigues DB, McPhillips A. Management of the infected temporomandibular joint total joint prosthesis. J Oral Maxillofac Surg. 2010;68(11):2810–23.

    PubMed  Google Scholar 

  6. Mercuri LG, Psutka D. Perioperative, postoperative, and prophylactic use of antibiotics in alloplastic total temporomandibular joint replacement surgery: a survey and preliminary guidelines. J Oral Maxillofac Surg. 2011;69(8):2106–11.

    PubMed  Google Scholar 

  7. Kaandorp CJ, Krijnen P, Moens HJ, Habbema JD, van Schaardenburg D. The outcome of bacterial arthritis: a prospective community-based study. Arthritis Rheum. 1997;40(5):884–92.

    CAS  PubMed  Google Scholar 

  8. Mercuri LG. Temporomandibular joint replacement periprosthetic joint infections: a review of early diagnostic testing options. Int J Oral Maxillofac Surg. 2014;43(10):1236–42.

    CAS  PubMed  Google Scholar 

  9. Nair R, Schweizer ML, Singh N. Septic arthritis and prosthetic joint infections in older adults. Infect Dis Clin North Am. 2017;31(4):715–29.

    PubMed  Google Scholar 

  10. Vegari DN. Predisposing factors for periprosthetic joint infection. In: Parvizi J, editor. Periprosthetic joint infection: practical management guide. New Delhi: Jaypee Brothers Medical Publishers; 2013. p. 59–63.

    Google Scholar 

  11. Parvizi J, Gehrke T, Chen AF. Proceedings of the international consensus on periprosthetic joint infection. Bone Joint J. 2013;95-B(11):1450–2.

    CAS  PubMed  Google Scholar 

  12. Workgroup Convened by the Musculoskeletal Infection Society. New definition for periprosthetic joint infection. J Arthroplasty. 2011;26(8):1136–8.

    Google Scholar 

  13. Perez DE, Wolford LM, Schneiderman E, Movahed R, Bourland C, Gutierrez EP. Does unilateral temporomandibular total joint reconstruction result in contralateral joint pain and dysfunction? J Oral Maxillofac Surg. 2016;74(8):1539–47.

    PubMed  Google Scholar 

  14. Song Z, Borgwardt L, Hoiby N, Wu H, Sorensen TS, Borgwardt A. Prosthesis infections after orthopedic joint replacement: the possible role of bacterial biofilms. Orthop Rev (Pavia). 2013;5(2):65–71.

    Google Scholar 

  15. Trampuz A, Widmer AF. Infections associated with orthopedic implants. Curr Opin Infect Dis. 2006;19(4):349–56.

    CAS  PubMed  Google Scholar 

  16. Khader R, Tingey J, Sewall S. Temporomandibular prosthetic joint infections associated with Propionibacterium acnes: a case series, and a review of the literature. J Oral Maxillofac Surg. 2017;75(12):2512–20.

    PubMed  Google Scholar 

  17. Johansson L, Hailer NP, Rahme H. High incidence of periprosthetic joint infection with propionibacterium acnes after the use of a stemless shoulder prosthesis with metaphyseal screw fixation—a retrospective cohort study of 241 patients. BMC Musculoskelet Disord. 2017;18(1):203.

    PubMed  PubMed Central  Google Scholar 

  18. White paper: a new paradigm for the diagnosis of periprosthetic joint infection 2013. Revised March 10, 2014. https://citranolab.com/wp-content/uploads/Synovasure-White-Paper.pdf.

  19. Chalifour A, Jeannin P, Gauchat JF, Blaecke A, Malissard M, N’Guyen T, et al. Direct bacterial protein PAMP recognition by human NK cells involves TLRs and triggers alpha-defensin production. Blood. 2004;104(6):1778–83.

    CAS  PubMed  Google Scholar 

  20. Ganz T, Selsted ME, Szklarek D, Harwig SS, Daher K, Bainton DF, et al. Defensins. Natural peptide antibiotics of human neutrophils. J Clin Invest. 1985;76(4):1427–35.

    CAS  PubMed  PubMed Central  Google Scholar 

  21. Bingham J, Clarke H, Spangehl M, Schwartz A, Beauchamp C, Goldberg B. The alpha defensin-1 biomarker assay can be used to evaluate the potentially infected total joint arthroplasty. Clin Orthop Relat Res. 2014;472(12):4006–9.

    PubMed  PubMed Central  Google Scholar 

  22. Chen A, Fei J, Deirmegian C. Diagnosis of periprosthetic infection: novel developments. J Knee Surg. 2014;27(4):259–65.

    PubMed  Google Scholar 

  23. Deirmengian C, Kardos K, Kilmartin P, Cameron A, Schiller K, Booth RE Jr, et al. The alpha-defensin test for periprosthetic joint infection outperforms the leukocyte esterase test strip. Clin Orthop Relat Res. 2015;473(1):198–203.

    PubMed  Google Scholar 

  24. Deirmengian C, Kardos K, Kilmartin P, Cameron A, Schiller K, Parvizi J. Combined measurement of synovial fluid alpha-Defensin and C-reactive protein levels: highly accurate for diagnosing periprosthetic joint infection. J Bone Joint Surg Am. 2014;96(17):1439–45.

    PubMed  Google Scholar 

  25. Deirmengian C, Kardos K, Kilmartin P, Cameron A, Schiller K, Parvizi J. Diagnosing periprosthetic joint infection: has the era of the biomarker arrived? Clin Orthop Relat Res. 2014;472(11):3254–62.

    PubMed  PubMed Central  Google Scholar 

  26. Mercuri LG. Microbial biofilms: a potential source for alloplastic device failure. J Oral Maxillofac Surg. 2006;64(8):1303–9.

    PubMed  Google Scholar 

  27. Effat KG. Post-traumatic auriculotemporal neuralgia: a previously unreported complication of endaural incision. Egypt J Orolaryngol. 2014;30:180–1.

    Google Scholar 

  28. Green B, Griffiths E, Almond S. Neuropsychiatric symptoms following metal-on-metal implant failure with cobalt and chromium toxicity. BMC Psychiatry. 2017;17(1):33.

    PubMed  PubMed Central  Google Scholar 

  29. Schram SE, Warshaw EM, Laumann A. Nickel hypersensitivity: a clinical review and call to action. Int J Dermatol. 2010;49(2):115–25.

    CAS  PubMed  Google Scholar 

  30. Thyssen JP, Menne T. Metal allergy—a review on exposures, penetration, genetics, prevalence, and clinical implications. Chem Res Toxicol. 2010;23(2):309–18.

    CAS  PubMed  Google Scholar 

  31. Goutam M, Giriyapura C, Mishra SK, Gupta S. Titanium allergy: a literature review. Indian J Dermatol. 2014;59(6):630.

    PubMed  PubMed Central  Google Scholar 

  32. van Loon JP, Otten E, Falkenstrom CH, de Bont LG, Verkerke GJ. Loading of a unilateral temporomandibular joint prosthesis: a three-dimensional mathematical study. J Dent Res. 1998;77(11):1939–47.

    PubMed  Google Scholar 

  33. Voiner J, Yu J, Deitrich P, Chafin C, Giannakopoulos H. Analysis of mandibular motion following unilateral and bilateral alloplastic TMJ reconstruction. Int J Oral Maxillofac Surg. 2011;40(6):569–71.

    CAS  PubMed  Google Scholar 

  34. Bekcioglu B, Bulut E, Bas B. The effects of unilateral alloplastic temporomandibular joint replacement on the opposite-side natural joint: a finite-element analysis. J Oral Maxillofac Surg. 2017;75(11):2316–22.

    PubMed  Google Scholar 

  35. Silva R, Gupta R, Tartaglia G, Connelly S. Benefits of using the ultrasonic BoneScalpel in temporomandibular joint reconstruction. J Craniomaxillofac Surg. 2017;45(3):401–7.

    PubMed  Google Scholar 

  36. Rosenberg I, Austin JC, Wright PG, King RE. The effect of experimental ligation of the external carotid artery and its major branches on haemorrhage from the maxillary artery. Int J Oral Surg. 1982;11(4):251–9.

    CAS  PubMed  Google Scholar 

  37. Rustemeyer J, Eufinger H, Bremerich A. The incidence of Frey’s syndrome. J Craniomaxillofac Surg. 2008;36(1):34–7.

    PubMed  Google Scholar 

  38. Iwanaga J, Fisahn C, Watanabe K, Bobek SL, Ogata K, Tanoue R, et al. Parotid branches of the auriculotemporal nerve: an anatomical study with implications for Frey syndrome. J Craniofac Surg. 2017;28(1):262–4.

    PubMed  Google Scholar 

  39. Tansatit T, Apinuntrum P, Phetudom T. Evidence suggesting that the buccal and zygomatic branches of the facial nerve may contain parasympathetic secretomotor fibers to the parotid gland by means of communications from the auriculotemporal nerve. Aesthet Plast Surg. 2015;39(6):1010–7.

    Google Scholar 

  40. Li C, Yang X, Pan J, Shi Z, Li L. Graft for prevention of Frey syndrome after parotidectomy: a systematic review and meta-analysis of randomized controlled trials. J Oral Maxillofac Surg. 2013;71(2):419–27.

    PubMed  Google Scholar 

  41. Ye WM, Zhu HG, Zheng JW, Wang XD, Zhao W, Zhong LP. Use of allogenic acellular dermal matrix in prevention of Frey’s syndrome after parotidectomy. Br J Oral Maxillofac Surg. 2008;46(8):649–52.

    PubMed  Google Scholar 

  42. Baum SH, Pfortner R, Ladwein F, Schmeling C, Rieger G, Mohr C. Use of dermis-fat grafts in the prevention of Frey’s syndrome after parotidectomy. J Craniomaxillofac Surg. 2016;44(3):301–8.

    PubMed  Google Scholar 

  43. Fasolis M, Zavattero E, Iaquinta C, Berrone S. Dermofat graft after superficial parotidectomy to prevent Frey syndrome and depressed deformity. J Craniofac Surg. 2013;24(4):1260–2.

    PubMed  Google Scholar 

  44. Bonanno PC, Palaia D, Rosenberg M, Casson P. Prophylaxis against Frey’s syndrome in parotid surgery. Ann Plast Surg. 2000;44(5):498–501.

    CAS  PubMed  Google Scholar 

  45. Zhao HW, Li LJ, Han B, Liu H, Pan J. [A retrospective study on the complications after modified parotidectomy in benign tumors of parotid gland]. Hua Xi Kou Qiang Yi Xue Za Zhi. 2005;23(1):53–6.

    Google Scholar 

  46. Lovato A, Restivo DA, Ottaviano G, Marioni G, Marchese-Ragona R. Botulinum toxin therapy: functional silencing of salivary disorders. Acta Otorhinolaryngol Ital. 2017;37(2):168–71.

    CAS  PubMed  PubMed Central  Google Scholar 

  47. Xie S, Wang K, Xu T, Guo XS, Shan XF, Cai ZG. Efficacy and safety of botulinum toxin type A for treatment of Frey’s syndrome: evidence from 22 published articles. Cancer Med. 2015;4(11):1639–50.

    PubMed  PubMed Central  Google Scholar 

  48. Alwanni N, Altay MA, Baur DA, Quereshy FA. First bite syndrome after bilateral temporomandibular joint replacement: case report. J Oral Maxillofac Surg. 2016;74(3):480–8.

    PubMed  Google Scholar 

  49. Scholey AL, Suida MI. First bite syndrome after bimaxillary osteotomy: case report. Br J Oral Maxillofac Surg. 2015;53(6):561–3.

    PubMed  Google Scholar 

  50. Topf MC, Moritz E, Gleysteen J, Curry JM, Cognetti DM, Luginbuhl AJ. First bite syndrome following transcervical arterial ligation after transoral robotic surgery. Laryngoscope. 2018;128(7):1589–93.

    PubMed  Google Scholar 

  51. Tao MJ, Roche-Nagle G. First bite syndrome: a complication of carotid endarterectomy. BMJ Case Rep. 2016;2016.

    Google Scholar 

  52. Linkov G, Morris LG, Shah JP, Kraus DH. First bite syndrome: incidence, risk factors, treatment, and outcomes. Laryngoscope. 2012;122(8):1773–8.

    PubMed  Google Scholar 

  53. Amin N, Pelser A, Weighill J. First bite syndrome: our experience of laser tympanic plexus ablation. J Laryngol Otol. 2014;128(2):166–8.

    CAS  PubMed  Google Scholar 

  54. Guss J, Ashton-Sager AL, Fong BP. First bite syndrome caused by adenoid cystic carcinoma of the submandibular gland. Laryngoscope. 2013;123(2):426–8.

    PubMed  Google Scholar 

  55. Stoopler ET, Elmuradi S, Sollecito TP, Mirza N. Idiopathic first bite syndrome. J Oral Maxillofac Surg. 2016;74(5):872.

    PubMed  Google Scholar 

  56. Fiorini FR, Santoro R, Cristofaro G, Buongiorno A, Mannelli G, Picconi M, et al. Potential use of acupuncture in the treatment of first bite syndrome. Am J Otolaryngol. 2015;36(3):484–7.

    CAS  PubMed  Google Scholar 

  57. Laccourreye O, Werner A, Garcia D, Malinvaud D, Tran Ba Huy P, Bonfils P. First bite syndrome. Eur Ann Otorhinolaryngol Head Neck Dis. 2013;130(5):269–73.

    CAS  PubMed  Google Scholar 

  58. Phillips TJ, Farquhar-Smith WP. Pharmacological treatment of a patient with first-bite syndrome. Anaesthesia. 2009;64(1):97–8.

    CAS  PubMed  Google Scholar 

  59. Sims JR, Suen JY. First bite syndrome: case report of 3 patients treated with botulinum toxin and review of other treatment modalities. Head Neck. 2013;35(9):E288–91.

    PubMed  Google Scholar 

  60. Ghosh A, Mirza N. First bite syndrome: our experience with intraparotid injections with botulinum toxin type A. Laryngoscope. 2016;126(1):104–7.

    CAS  PubMed  Google Scholar 

  61. Avincsal MO, Hiroshima Y, Shinomiya H, Shinomiya H, Otsuki N, Nibu KI. First bite syndrome—an 11-year experience. Auris Nasus Larynx. 2017;44(3):302–5.

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Oral and Maxillofacial Surgery, San Francisco VA Health Care System, University of California San Francisco, San Francisco, CA, USA

    Rebeka G. Silva & S. Thaddeus Connelly

  2. Private Practice, Dental Implant and Oral Surgery of San Francisco, San Francisco, CA, USA

    Rebeka G. Silva & S. Thaddeus Connelly

  3. Departments of Oral and Maxillofacial Surgery and Orthodontics, Texas A&M University College of Dentistry, Dallas, TX, USA

    L. Wolford

Authors
  1. Rebeka G. Silva
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  2. L. Wolford
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  3. S. Thaddeus Connelly
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Corresponding author

Correspondence to Rebeka G. Silva .

Editor information

Editors and Affiliations

  1. Oral and Maxillofacial Surgery, San Francisco VA Health Care System, University of California San Francisco, San Francisco, CA, USA

    S. Thaddeus Connelly  & Rebeka G. Silva  & 

  2. Private Practice, Dental Implant and Oral Surgery of San Francisco, San Francisco, CA, USA

    S. Thaddeus Connelly  & Rebeka G. Silva  & 

  3. Department of Biomedical Sciences for Health, Functional Anatomy Research Center (FARC), Universita degli Studi di Milano Functional Anatomy Research Center, Milano, Italy

    Gianluca Martino Tartaglia

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Silva, R.G., Wolford, L., Connelly, S.T. (2019). Complications in Total Temporomandibular Joint Reconstruction. In: Connelly, S.T., Tartaglia, G.M., Silva, R.G. (eds) Contemporary Management of Temporomandibular Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-99909-8_9

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  • DOI: https://doi.org/10.1007/978-3-319-99909-8_9

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-99908-1

  • Online ISBN: 978-3-319-99909-8

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