Selcuk University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Campus of Alaeddin, 42250 Konya, Turkey.
Selcuk University, Faculty of Medicine, Department of Otolaryngology-Head and Neck Surgery, Konya, Turkey.
J Stomatol Oral Maxillofac Surg. 2018 Sep;119(4):348-353. doi: 10.1016/j.jormas.2018.04.007. Epub 2018 Apr 21.
The aim of this case report is to evaluate the clinical outcomes that including minor postoperative complications of the transport distraction osteogenesis (TDO) for reconstruction of the ramus-condyle unit.
We present 3 cases of the ramus-condyle unit reconstruction after the resection of bone tumors. All three bone tumors were excised intraoperatively and the histologic assessment confirmed the clinical diagnosis of osteochondroma, condylar hyperplasia, and osteoma.
Although postoperative minor complications were noted; all patients had satisfactory lateral and protrusive jaw movements, and also adequate mouth openings.
TDO for reconstruction of the ramus-condyle unit is an effective treatment modality for TMJ reconstruction. However, after condylectomy with resection of the condylar neck, it seems to be a reliable approach to adjust the distraction vector slightly posterior to maintain the transport segment in glenoid fossa to prevent the premature contact of bony segments, especially for individuals who have shorter anteroposterior ramus length in the axial plane.
本病例报告旨在评估交通性牵引成骨术（TDO）治疗下颌升支-髁突联合部肿瘤切除术后重建的临床效果，包括轻微术后并发症。
我们介绍了 3 例下颌升支-髁突联合部肿瘤切除术后的重建病例。所有 3 例骨肿瘤均在术中切除，组织学评估证实临床诊断为骨软骨瘤、髁突增生和骨瘤。
尽管术后出现了轻微并发症，但所有患者的下颌侧向和前伸运动以及张口度均满意。
TDO 治疗下颌升支-髁突联合部肿瘤切除术后重建是一种有效的 TMJ 重建治疗方法。然而，对于髁突颈切除的患者，将牵引向量稍微向后调整似乎是一种可靠的方法，以保持交通段在关节窝内，防止骨段过早接触，特别是对于轴向平面上前后径较短的患者。
