Journal article
Occlusion and Functional Outcomes after Complete Temporomandibular Joint Resection with Soft Tissue Reconstruction
Otolaryngology-head and neck surgery, Vol.162(4), pp.589-592
04/01/2020
DOI: 10.1177/0194599819901144
PMID: 31959049
Abstract
Reconstructive outcomes after complete temporomandibular joint (TMJ) resection, including the condyle and glenoid fossa bone, are poorly defined in the literature. We described our technique and reviewed occlusion and functional outcomes of 6 consecutive patients undergoing complete TMJ resection and reconstruction with anterolateral thigh free tissue transfer and intermaxillary fixation with elastic bands for 6 to 8 weeks. At median follow-up of 14 months, median Mandibular Function Impairment Questionnaire score was 32 (range, 4-38), indicating mild to moderate impairment. Subjective occlusion was normal in 4 of 6 patients. Premature occlusal contact was seen in 2 of 6 patients. Maximal interincisor distance and horizontal mandibular shift with jaw abduction ranged from 29 to 40 mm and 5 to 8 mm, respectively. Four of 6 tolerated regular diets while 2 adhered to mechanical soft diets; no patients were feeding tube dependent. Soft tissue-only reconstruction after complete TMJ resection resulted in good subjective and objective occlusion in 4 of 6 patients and no cases of severe functional impairment.
Details
- Title: Subtitle
- Occlusion and Functional Outcomes after Complete Temporomandibular Joint Resection with Soft Tissue Reconstruction
- Creators
- Jake J. Lee - Washington University in St. LouisDaniel P. Lander - Washington University in St. LouisRyan S. Jackson - Washington University in St. LouisJoseph Zenga - Medical College of WisconsinPatrik Pipkorn - Washington University in St. Louis
- Resource Type
- Journal article
- Publication Details
- Otolaryngology-head and neck surgery, Vol.162(4), pp.589-592
- DOI
- 10.1177/0194599819901144
- PMID
- 31959049
- NLM abbreviation
- Otolaryngol Head Neck Surg
- ISSN
- 0194-5998
- eISSN
- 1097-6817
- Publisher
- Wiley
- Number of pages
- 4
- Grant note
- UL1TR002345-provides / National Center for Advancing Translational Sciences of the NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) 5T32DC000022-30 / National Institutes of Health (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Language
- English
- Date published
- 04/01/2020
- Academic Unit
- Otolaryngology
- Record Identifier
- 9985240988102771
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