Legacy Emanuel Hospital, Portland, Oregon.
Semin Plast Surg. 2008 Aug;22(3):156-60. doi: 10.1055/s-2008-1081399.
The temporomandibular joint is elegant in its design, which may make it difficult if not impossible to comprehensively reconstruct. Although a broad range of nonvascularized options exists for reconstruction of degenerative conditions of the temporomandibular joint, vascularized reconstructions such as the fibula or the second metatarsal phalangeal joint are more appropriate for defects resulting from oncologic resection or in patients with compromised soft tissue. An anatomically based classification system for these defects is presented.
颞下颌关节的设计精巧，这使得对其进行全面重建变得困难，如果不是不可能的话。虽然存在广泛的非血管化选项可用于重建颞下颌关节的退行性疾病，但血管化重建，如腓骨或第二跖趾关节，更适合因肿瘤切除或软组织受损导致的缺损。为此类缺损提出了一种基于解剖学的分类系统。
