Advertisement

Considering the TMJ in Mandibular Reconstruction: Ablation/ORN/Trauma

  • Baber KhatibEmail author
  • Allen Cheng
  • Eric Dierks
Chapter

Abstract

When mandibular defects occur following tumor ablation, trauma, infection, or necrosis, anatomical reconstruction becomes necessary to restore proper form and function. Prior to any mandibular rehabilitation, involving resection of the TMJ or not, the function of the stomatognathic apparatus, including the teeth, muscles, and the temporomandibular joint, needs to be taken into consideration for an optimal surgical result. For obvious reasons, this is especially important with disarticulation of the TMJ in oncologic, necrotic, infective, and traumatic settings, which inherently have unique management challenges and reconstructive nuances. In this chapter, we review the various TMJ reconstructive options and their applications in the settings of resection defects that result from tumor ablation, trauma, infections, and necrosis.

Keywords

Temporomandibular Ablation Cancer Trauma Fibula flap 

References

  1. 1.
    Cunningham LL, Haug RH, Ford J. Firearm injuries to the maxillofacial region: an overview of current thoughts regarding demographics, pathophysiology, and management. J Oral Maxillofac Surg. 2003;61(8):932–42.CrossRefGoogle Scholar
  2. 2.
    Ozturk S, et al. Psychiatric analysis of suicide attempt subjects due to maxillofacial gunshot. J Craniofac Surg. 2006;17(6):1072–5.CrossRefGoogle Scholar
  3. 3.
    Shuck LW, Orgel MG, Vogel AV. Self-inflicted gunshot wounds to the face: a review of 18 cases. J Trauma. 1980;20(5):370–7.CrossRefGoogle Scholar
  4. 4.
    Shackford SR, et al. Gunshot wounds and blast injuries to the face are associated with significant morbidity and mortality: results of an 11-year multi-institutional study of 720 patients. J Trauma Acute Care Surg. 2014;76(2):347–52.CrossRefGoogle Scholar
  5. 5.
    Taher AA. Management of weapon injuries to the craniofacial skeleton. J Craniofac Surg. 1998;9(4):371–82.CrossRefGoogle Scholar
  6. 6.
    Zide MF, Kent JN. Indications for open reduction of mandibular condyle fractures. J Oral Maxillofac Surg. 1983;41(2):89–98.CrossRefGoogle Scholar
  7. 7.
    Disa JJ, Cordeiro PG. Mandible reconstruction with microvascular surgery. Semin Surg Oncol. 2000;19(3):226–34.CrossRefGoogle Scholar
  8. 8.
    Chattopadhyay PK, et al. Osteomyelitis of the mandibular condyle: a report of 2 cases with review of the literature. J Oral Maxillofac Surg. 2017;75(2):322–35.CrossRefGoogle Scholar
  9. 9.
    Kruse AL, et al. Temporomandibular disorders associated with metastases to the temporomandibular joint: a review of the literature and 3 additional cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110(2):e21–8.CrossRefGoogle Scholar
  10. 10.
    Hidalgo DA. Condyle transplantation in free flap mandible reconstruction. Plast Reconstr Surg. 1994;93(4):770–81; discussion 782–3.CrossRefGoogle Scholar
  11. 11.
    Carragee EJ, Hurwitz EL, Weiner BK. A critical review of recombinant human bone morphogenetic protein-2 trials in spinal surgery: emerging safety concerns and lessons learned. Spine J. 2011;11(6):471–91.CrossRefGoogle Scholar
  12. 12.
    Bala A, et al. Total shoulder arthroplasty in patients with HIV infection: complications, comorbidities, and trends. J Shoulder Elb Surg. 2016;25(12):1971–9.CrossRefGoogle Scholar
  13. 13.
    Nickel BT, et al. Arthroplasty in organ transplant patients. Arthroplast Today. 2015;1(2):41–4.CrossRefGoogle Scholar
  14. 14.
    Patel A, Maisel R. Condylar prostheses in head and neck cancer reconstruction. Arch Otolaryngol Head Neck Surg. 2001;127(7):842–6.PubMedGoogle Scholar
  15. 15.
    Foster RD, et al. Vascularized bone flaps versus nonvascularized bone grafts for mandibular reconstruction: an outcome analysis of primary bony union and endosseous implant success. Head Neck. 1999;21(1):66–71.CrossRefGoogle Scholar
  16. 16.
    Pogrel MA, et al. A comparison of vascularized and nonvascularized bone grafts for reconstruction of mandibular continuity defects. J Oral Maxillofac Surg. 1997;55(11):1200–6.CrossRefGoogle Scholar
  17. 17.
    Chrcanovic BR, et al. Osteoradionecrosis of the jaws—a current overview—part 1: physiopathology and risk and predisposing factors. Oral Maxillofac Surg. 2010;14(1):3–16.CrossRefGoogle Scholar
  18. 18.
    Reuther T, et al. Osteoradionecrosis of the jaws as a side effect of radiotherapy of head and neck tumour patients—a report of a thirty year retrospective review. Int J Oral Maxillofac Surg. 2003;32(3):289–95.CrossRefGoogle Scholar
  19. 19.
    O’Dell K, Sinha U. Osteoradionecrosis. Oral Maxillofac Surg Clin North Am. 2011;23(3):455–64.CrossRefGoogle Scholar
  20. 20.
    Alonso del Hoyo J, et al. Primary mandibular reconstruction with bridging plates. J Craniomaxillofac Surg. 1994;22(1):43–8.CrossRefGoogle Scholar
  21. 21.
    Blackwell KE, Buchbinder D, Urken ML. Lateral mandibular reconstruction using soft-tissue free flaps and plates. Arch Otolaryngol Head Neck Surg. 1996;122(6):672–8.CrossRefGoogle Scholar
  22. 22.
    Shockley WW, Weissler MC, Pillsbury HC. Immediate mandibular replacement using reconstruction plates. Arch Otolaryngol Head Neck Surg. 1991;117(7):745–9; discussion 750.CrossRefGoogle Scholar
  23. 23.
    Ettl T, et al. Feasibility of alloplastic mandibular reconstruction in patients following removal of oral squamous cell carcinoma. J Craniomaxillofac Surg. 2010;38(5):350–4.CrossRefGoogle Scholar
  24. 24.
    Lee M, et al. Outcomes of microvascular free flap reconstruction for mandibular osteoradionecrosis: a systematic review. J Craniomaxillofac Surg. 2015;43(10):2026–33.CrossRefGoogle Scholar
  25. 25.
    Brown JS, et al. Mandibular reconstruction with vascularised bone flaps: a systematic review over 25 years. Br J Oral Maxillofac Surg. 2017;55(2):113–26.CrossRefGoogle Scholar
  26. 26.
    Borumandi F, Burger H, Gaggl A. Combined second metatarsophalangeal joint and extended dorsalis pedis flap for reconstruction of temporomandibular joint and oral mucosa. Br J Oral Maxillofac Surg. 2013;51(4):e54–6.CrossRefGoogle Scholar
  27. 27.
    Potter JK, Dierks EJ. Vascularized options for reconstruction of the mandibular condyle. Semin Plast Surg. 2008;22(3):156–60.CrossRefGoogle Scholar
  28. 28.
    Urken ML. Composite free flaps in oromandibular reconstruction. Review of the literature. Arch Otolaryngol Head Neck Surg. 1991;117(7):724–32.CrossRefGoogle Scholar
  29. 29.
    Hidalgo DA. Fibula free flap: a new method of mandible reconstruction. Plast Reconstr Surg. 1989;84(1):71–9.CrossRefGoogle Scholar
  30. 30.
    Guyot L, et al. Long-term radiological findings following reconstruction of the condyle with fibular free flaps. J Craniomaxillofac Surg. 2004;32(2):98–102.CrossRefGoogle Scholar
  31. 31.
    Wax MK, et al. A retrospective analysis of temporomandibular joint reconstruction with free fibula microvascular flap. Laryngoscope. 2000;110(6):977–81.CrossRefGoogle Scholar
  32. 32.
    Boyne PJ. Free grafting of traumatically displaced or resected mandibular condyles. J Oral Maxillofac Surg. 1989;47(3):228–32.CrossRefGoogle Scholar
  33. 33.
    Abubaker O. Avascular necrosis of the mandibular condyle: fact or fantasy. J Oral Maxillofac Surg. 1989;47(9):1007–8.CrossRefGoogle Scholar
  34. 34.
    Reiskin AB. Aseptic necrosis of the mandibular condyle: a common problem? Quintessence Int Dent Dig. 1979;10(2):85–9.PubMedGoogle Scholar
  35. 35.
    Schellhas KP, et al. MR of osteochondritis dissecans and avascular necrosis of the mandibular condyle. AJR Am J Roentgenol. 1989;152(3):551–60.CrossRefGoogle Scholar
  36. 36.
    Nahabedian MY, Tufaro A, Manson PN. Improved mandible function after hemimandibulectomy, condylar head preservation, and vascularized fibular reconstruction. Ann Plast Surg. 2001;46(5):506–10.CrossRefGoogle Scholar
  37. 37.
    Bredell M, et al. Management of the temporomandibular joint after ablative surgery. Craniomaxillofac Trauma Reconstr. 2014;7(4):271–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.The Head and Neck InstitutePortlandUSA
  2. 2.Oral and Maxillofacial Oncologic and Microvascular Reconstructive SurgeryMedical University of South CarolinaCharlestonUSA

Personalised recommendations