Surgery of the Temporomandibular Joint: Virtual Planning
Patients with temporomandibular joint (TMJ) pathology and coexisting dentofacial deformities can be corrected with concomitant TMJ and orthognathic surgery (C-TMJ-OS) in one surgical stage or separated into two surgical stages. The two-stage approach requires the patient to undergo two separate operations (one surgery to correct the TMJ pathology and a second operation to perform the orthognathic surgery) and two general anesthetics significantly lengthening the overall treatment time. Performing C-TMJ-OS in a single operation significantly decreases treatment time, provides better outcomes, but requires careful treatment planning and surgical proficiency in the two surgical areas. There are TMJ pathologies that require total joint prostheses for best results. The application of computer technology for TMJ and orthognathic surgical planning and implementation has significantly improved the accuracy and predictability of treatment outcomes.
KeywordsTemporomandibular Arthroplasty Temporalis flap Internal derangement
- 14.Wolford LM, Cassano DS, Goncalves JR. Common TMJ disorders: orthodontic and surgical management. In: McNamara JA, Kapila SD, editors. Temporomandibular disorders and orofacial pain: separating controversy from consensus, Craniofacial growth series, vol. 46. Ann Arbor: The University of Michigan; 2009. p. 159–98.Google Scholar
- 16.Wolford LM. Postsurgical patient management. In: Fonseca R, Marciani R, Turvey T, editors. Chapter 19: Oral and maxillofacial surgery, vol. III. 2nd ed. St. Louis: Saunders; 2008. p. 396–418.Google Scholar