Abramowicz S, Dolwick M F, Lewis S B, Dolce C
Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, University of Florida, Gainesville, Florida, USA.
Int J Oral Maxillofac Surg. 2008 Aug;37(8):763-7. doi: 10.1016/j.ijom.2008.02.006. Epub 2008 Mar 28.
Multiple reports document that a foreign-body giant cell reaction forms around Proplast-Teflon temporomandibular joint (TMJ) implants. This results in destruction of surrounding bone and instability of the implants. This case presents a patient whose Proplast-Teflon TMJ implants became displaced into her middle cranial fossa. The staged reconstruction of this patient is described, including removal of the TMJ implants, reconstruction of the defect, concomitant orthodontic treatment and final reconstruction with TMJ Concepts. This process involved a multidisciplinary approach between several medical and dental specialties. At her 3-year follow up, the patient had a stable postoperative result.
多项报告表明，在普罗普拉斯-特氟龙颞下颌关节（TMJ）植入物周围会形成异物巨细胞反应。这会导致周围骨质破坏以及植入物不稳定。本病例介绍了一位患者，其普罗普拉斯-特氟龙颞下颌关节植入物移位至中颅窝。描述了该患者的分期重建过程，包括取出颞下颌关节植入物、修复缺损、同时进行正畸治疗以及使用颞下颌关节概念进行最终重建。这一过程涉及多个医学和牙科专业的多学科方法。在患者术后3年的随访中，术后结果稳定。
