The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation

Jameel Desai; Coelette Smit

doi:doi:10.11648/j.js.20190702.11

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The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation

Jameel Desai, Coelette Smit

Published in Journal of Surgery (Volume 7, Issue 2)

Received: 22 January 2019 Accepted: 9 April 2019 Published: 6 May 2019

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Abstract

The reconstruction of a mandible after ablative surgery poses many challenges. This is particularly true if the temporomandibular joint (TMJ) has been sacrificed, and the intention is to replace the mandibular defect and the joint with an alloplastic reconstruction plate and add-on condyle. A metal only condyle poses serious complication risk, and thus function against a prosthetic fossa is desirable. Currently, no stock matched prosthesis exists to fulfil this role. Aim: a series of cases are presented, whereby unmatched add-on condyles and alloplastic fossas were used safely and effectively. Materials and method: nine patients that received hemi-mandibulectomies and subsequent reconstruction with reconstruction plates, add-on condyles and alloplastic TMJ fossas, were retrospectively reviewed. The radiographs were reviewed for structural integrity of the prostheses, or the formation of heterotypic bone; and the patients were clinically evaluated for localised signs of sepsis or dehiscence. Results: all nine patients showed no sign of clinical or radiographic failure of the hybrid prostheses. Conclusion: it appears as though the use of unmatched TMJ fossas and reconstruction plates with add-on condyles, are an acceptable method of treating an ablated TMJ after hemi-mandibulectomy with disarticulation.

Published in	Journal of Surgery (Volume 7, Issue 2)
DOI	10.11648/j.js.20190702.11
Page(s)	31-34
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Mandibular-Reconstruction, Add-on Condyle, Alloplastic Fossa, Temporomandibular Joint

References

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[4]	Westermark A, Hedén P, Aagaard E, Cornelius C-P. The use of TMJ concepts prostheses to reconstruct patients with major temporomandibular joint and mandibular defects. Int J Oral Maxillofac Surg 2011;40:487-496
[5]	Mercuri LG. Alloplastic temporomandibular joint reconstruction. Oral Surg Oral Med Oral Pathol 1998;85(6):631-637
[6]	Lindqvist C, Sӧderholm AL, Hallikainen D, Sjӧvall L. Erosion and heterotopic bone formation after alloplastic temporomandibular joint reconstruction. J Oral Maxillofac Surg 1992;50:942-949
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[15]	Garrett WR, Abbey PA, Christensen RW. Temporomandibular joint reconstruction with a custom temporomandibular joint prosthesis: use in the multiply operated patient. In Szabo Z, Leis JE, Fantini GA, editors. Surgical technology international. San Francisco, CA: Universal Medical 1997. pp. 347-354

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APA Style

Jameel Desai, Coelette Smit. (2019). The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation. Journal of Surgery, 7(2), 31-34. https://doi.org/10.11648/j.js.20190702.11

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ACS Style

Jameel Desai; Coelette Smit. The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation. J. Surg. 2019, 7(2), 31-34. doi: 10.11648/j.js.20190702.11

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AMA Style

Jameel Desai, Coelette Smit. The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation. J Surg. 2019;7(2):31-34. doi: 10.11648/j.js.20190702.11

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@article{10.11648/j.js.20190702.11,
  author = {Jameel Desai and Coelette Smit},
  title = {The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation},
  journal = {Journal of Surgery},
  volume = {7},
  number = {2},
  pages = {31-34},
  doi = {10.11648/j.js.20190702.11},
  url = {https://doi.org/10.11648/j.js.20190702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190702.11},
  abstract = {The reconstruction of a mandible after ablative surgery poses many challenges. This is particularly true if the temporomandibular joint (TMJ) has been sacrificed, and the intention is to replace the mandibular defect and the joint with an alloplastic reconstruction plate and add-on condyle. A metal only condyle poses serious complication risk, and thus function against a prosthetic fossa is desirable. Currently, no stock matched prosthesis exists to fulfil this role. Aim: a series of cases are presented, whereby unmatched add-on condyles and alloplastic fossas were used safely and effectively. Materials and method: nine patients that received hemi-mandibulectomies and subsequent reconstruction with reconstruction plates, add-on condyles and alloplastic TMJ fossas, were retrospectively reviewed. The radiographs were reviewed for structural integrity of the prostheses, or the formation of heterotypic bone; and the patients were clinically evaluated for localised signs of sepsis or dehiscence. Results: all nine patients showed no sign of clinical or radiographic failure of the hybrid prostheses. Conclusion: it appears as though the use of unmatched TMJ fossas and reconstruction plates with add-on condyles, are an acceptable method of treating an ablated TMJ after hemi-mandibulectomy with disarticulation.},
 year = {2019}
}

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TY  - JOUR
T1  - The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation
AU  - Jameel Desai
AU  - Coelette Smit
Y1  - 2019/05/06
PY  - 2019
N1  - https://doi.org/10.11648/j.js.20190702.11
DO  - 10.11648/j.js.20190702.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 31
EP  - 34
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20190702.11
AB  - The reconstruction of a mandible after ablative surgery poses many challenges. This is particularly true if the temporomandibular joint (TMJ) has been sacrificed, and the intention is to replace the mandibular defect and the joint with an alloplastic reconstruction plate and add-on condyle. A metal only condyle poses serious complication risk, and thus function against a prosthetic fossa is desirable. Currently, no stock matched prosthesis exists to fulfil this role. Aim: a series of cases are presented, whereby unmatched add-on condyles and alloplastic fossas were used safely and effectively. Materials and method: nine patients that received hemi-mandibulectomies and subsequent reconstruction with reconstruction plates, add-on condyles and alloplastic TMJ fossas, were retrospectively reviewed. The radiographs were reviewed for structural integrity of the prostheses, or the formation of heterotypic bone; and the patients were clinically evaluated for localised signs of sepsis or dehiscence. Results: all nine patients showed no sign of clinical or radiographic failure of the hybrid prostheses. Conclusion: it appears as though the use of unmatched TMJ fossas and reconstruction plates with add-on condyles, are an acceptable method of treating an ablated TMJ after hemi-mandibulectomy with disarticulation.
VL  - 7
IS  - 2
ER  -

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Author Information

Jameel Desai

Department of Maxillofacial and Oral Surgery, University of Pretoria, Tshwane, South Africa
Coelette Smit

Advanced Orofacial Surgery, Rosebank, South Africa

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Plain Text BibTeX RIS

APA Style

Jameel Desai, Coelette Smit. (2019). The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation. Journal of Surgery, 7(2), 31-34. https://doi.org/10.11648/j.js.20190702.11

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ACS Style

Jameel Desai; Coelette Smit. The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation. J. Surg. 2019, 7(2), 31-34. doi: 10.11648/j.js.20190702.11

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AMA Style

Jameel Desai, Coelette Smit. The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation. J Surg. 2019;7(2):31-34. doi: 10.11648/j.js.20190702.11

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@article{10.11648/j.js.20190702.11,
  author = {Jameel Desai and Coelette Smit},
  title = {The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation},
  journal = {Journal of Surgery},
  volume = {7},
  number = {2},
  pages = {31-34},
  doi = {10.11648/j.js.20190702.11},
  url = {https://doi.org/10.11648/j.js.20190702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190702.11},
  abstract = {The reconstruction of a mandible after ablative surgery poses many challenges. This is particularly true if the temporomandibular joint (TMJ) has been sacrificed, and the intention is to replace the mandibular defect and the joint with an alloplastic reconstruction plate and add-on condyle. A metal only condyle poses serious complication risk, and thus function against a prosthetic fossa is desirable. Currently, no stock matched prosthesis exists to fulfil this role. Aim: a series of cases are presented, whereby unmatched add-on condyles and alloplastic fossas were used safely and effectively. Materials and method: nine patients that received hemi-mandibulectomies and subsequent reconstruction with reconstruction plates, add-on condyles and alloplastic TMJ fossas, were retrospectively reviewed. The radiographs were reviewed for structural integrity of the prostheses, or the formation of heterotypic bone; and the patients were clinically evaluated for localised signs of sepsis or dehiscence. Results: all nine patients showed no sign of clinical or radiographic failure of the hybrid prostheses. Conclusion: it appears as though the use of unmatched TMJ fossas and reconstruction plates with add-on condyles, are an acceptable method of treating an ablated TMJ after hemi-mandibulectomy with disarticulation.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation
AU  - Jameel Desai
AU  - Coelette Smit
Y1  - 2019/05/06
PY  - 2019
N1  - https://doi.org/10.11648/j.js.20190702.11
DO  - 10.11648/j.js.20190702.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 31
EP  - 34
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20190702.11
AB  - The reconstruction of a mandible after ablative surgery poses many challenges. This is particularly true if the temporomandibular joint (TMJ) has been sacrificed, and the intention is to replace the mandibular defect and the joint with an alloplastic reconstruction plate and add-on condyle. A metal only condyle poses serious complication risk, and thus function against a prosthetic fossa is desirable. Currently, no stock matched prosthesis exists to fulfil this role. Aim: a series of cases are presented, whereby unmatched add-on condyles and alloplastic fossas were used safely and effectively. Materials and method: nine patients that received hemi-mandibulectomies and subsequent reconstruction with reconstruction plates, add-on condyles and alloplastic TMJ fossas, were retrospectively reviewed. The radiographs were reviewed for structural integrity of the prostheses, or the formation of heterotypic bone; and the patients were clinically evaluated for localised signs of sepsis or dehiscence. Results: all nine patients showed no sign of clinical or radiographic failure of the hybrid prostheses. Conclusion: it appears as though the use of unmatched TMJ fossas and reconstruction plates with add-on condyles, are an acceptable method of treating an ablated TMJ after hemi-mandibulectomy with disarticulation.
VL  - 7
IS  - 2
ER  -

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