Abstract
Today, temporomandibular joint (TMJ), condylar, and ascending ramus reconstruction can be performed with high accuracy as the recent new developments in diagnostic and surgical procedures now offer safe and reliable treatment concepts. Advances in diagnostic imaging facilitate treatment planning and the appropriate selection of reconstructive procedures (Figure 42.1).1 In general, nonvascularized grafts including costochondral, metatarsal, fibula, tibia, and iliac crest grafts are used. In an unfavorable soft tissue environment and especially in reconstructions of the condyle that also require reconstruction of larger aspects of the ascending ramus, an unpredictable resorption of the grafts may occur (Figure 42.2).
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References
van der Kuijl B. Current role of conventional radiography and CT in TMJ treatment planning. Abstract, International TMJ Conference, September 1–3, Groningen, The Netherlands; 1994.
Rehrmann A. Osteoplastik am kindlichen Unterkiefer. Langenbecks Arch Klin Chir. 1961;299:184–188.
Dingmann RO, Grabb WL. Reconstruction of both mandibular condyles with metatarsal bone grafts. Plast Reconstr Surg. 1964;34:441–451.
Ware WH. Growth centre transplantation in temporomandibular joint surgery. In: Walker RV, ed. Transactions of the 3rd In ternational Conference on Oral Surgery. London; 1970:148–157.
Kenett S. Temporomandibular joint ankylosis: the rationale for grafting in the young patient. J Oral Surg. 1973;31:744–748.
Matukas KJ, Szymela VF, Schmidt JF. Surgical treatment of bony anklyosis in a child using a composite cartilage-bone iliac crest graft. J Oral Surg. 1980;38:903–905.
Kummoona R. Chondro-osseous iliac crest graft for one stage reconstruction of the ankylosed TMJ in children. J Maxillofac Surg. 1986;14:215–220.
Lindqvist C, Pihakari A, Tasanen A, et al. Autogenous costochondral grafts in temporomandibular joint arthroplasty. A survey of 66 arthroplasties in 60 patients. J Maxillofac Surg. 1986; 14:143–149.
Svensson B, Feldmann G, Rindler A. Early surgical-orthodontic treatment of mandibular hypoplasia in juvenile chronic arthritis. J Craniomaxillofac Surg. 1993;21:67–75.
Wolford LM, Cottrell DA, Henry C. Sternoclavicular grafts for temporomandibular joint reconstruction. J Oral Maxillofac Surg. 1994;52:119–128.
Ellis E III, Carlson DS. Histologic comparison of the costochondral sternoclavicular and temporomandibular joints during growth in Macaca mulatta. J Oral Maxillofac Surg. 1986;44:312.
Guyuron B, Lasa CI. Unpredictable growth pattern of costochondral graft. Plast Reconstr Surg. 1992;90(5):880–886.
Siemssen SO. Temporomandibular arthroplasty by transfer of the sterno-clavicular joint on a muscle pedicle. Br J Plast Surg. 1982;35:225.
Reid CD, Taylor GI, Waterhouse N. The clavicular head of pectoralis major musculocutaneous free flap. Br J Plast Surg. 1986; 39:57.
Boyd JB. Use of reconstruction plates in conjunction with soft-tissue free flaps for oromandibular reconstruction. Head Neck Reconstr. 1994;21(1):69–77.
Buchbinder D, Urken ML, Vickery C, Weinberg H, Biller HF. Bone contouring and fixation in functional, primary microvascular mandibular reconstruction. Head Neck. 1991;13(3):191–199.
Shenaq SM, Klebuc MJA. TMJ reconstruction during vascularized bone graft transfer to the mandible. Microsurgery. 1994; 15(5):299–304.
Shenaq SM, Klebuc MJA. The iliac crest microsurgical free flap in mandibular reconstruction. Clin Plast Surg. 1994;21(1):37–44.
Hidalgo DA. Fibula free flap mandibular reconstruction. Head Neck Reconstr. 1994;21(1):25–35.
Hidalgo DA. Condyle transplantation in free flap mandible reconstruction. Plast Reconstr Surg. 1994;93(4):770–781.
Swartz WM, Banis JC, Newton ED, Ramasastry SS, Jones NF, Acland R. The osteocutaneous scapular flap for mandibular and maxillary reconstruction. Plast Reconstr Surg. 1986;77(4):530–545.
Urken ML, Weinberg H, Vickery C, Buchbinder D, Lawson W, Biller HF. Oromandibular reconstruction using microvascular composite free flaps. Arch Otolaryngol Head Neck Surg. 1991;117:733–744.
Lyberg T, Olstad OA. The vascularized fibular flap for mandibular reconstruction. J Craniomaxillofac Surg. 1991;19:113–118.
Schmelzeisen R, Rahn BA, Brennwald J. Fixation of vascularized bone grafts. J Craniomaxillofac Surg. 1993;21:113.
Watson DE. Condylar replacement with a metatarsal bone implant. Case report. Aust Dent J. 1990;35(4):362–363.
Hidding J, Habel G, Becker R. Kiefergelenkersatz durch ein mikrovaskulär reanastomosiertes mittelfußknochen-transplantat. Fortschr Kiefer Gesichtschir. 1990;35:25–27.
Dattilo DJ, Granick MS, Soteranos GS. Free vascularized whole joint transplant for reconstruction of the temporomandibular joint (a preliminary case report). J Oral Maxillofac Surg. 1986; 44:227.
Moos KH. The correction of the mandibular defect in hemifacial microsomia. J Craniomaxillofac Surg. 1994;22(suppl 1):8.
James D. The early management of hemifacial microsomia. J Craniomaxillofac Surg. 1994;22(suppl 1):7–8.
Goldberg VM. Experimental models for joint allografting. In: Aebi M, Regazzoni P, eds. Bone Transplantation. Berlin: Springer-Verlag; 1989:68–75.
Goldberg VM, Herndon CH, Lance E. Biology of osteoarticular allografts. In: Aebi M, Regazzoni P, eds. Bone Transplantation. Berlin: Springer-Verlag; 1989:52–58.
Schmelzeisen R. Experimental reconstruction of mandibular defects with vascularized allogenic bone grafts. PhD thesis; 1991.
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Schmelzeisen, R., Wilhelm Neukam, F. (2002). Microvascular Reconstruction of the Condyle and the Ascending Ramus. In: Greenberg, A.M., Prein, J. (eds) Craniomaxillofacial Reconstructive and Corrective Bone Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-22427-5_44
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DOI: https://doi.org/10.1007/978-0-387-22427-5_44
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