Anderson Spencer R, Pak Kaitlynne Y, Vincent Aurora G, Ong Adrian, Ducic Yadranko
Department of Plastic and Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio.
Wright State University Boonshoft School of Medicine, Dayton, Ohio.
Facial Plast Surg. 2021 Dec;37(6):728-734. doi: 10.1055/s-0041-1726444. Epub 2021 Apr 20.
The mandibular condyle is an integral structure in the temporomandibular joint (TMJ) serving not only as the hinge point for mandibular opening, but also facilitating mandibular growth and contributing to facial aesthetics. Significant compromise of the TMJ can be debilitating functionally, psychologically, and aesthetically. Reconstruction of the mandibular condyle is rarely straightforward. Multiple considerations must be accounted for when preparing for condylar reconstruction such as ensuring eradication of all chronically diseased or infected bone, proving clear oncologic margins following tumor resection, or achieving stability of the surrounding architecture in the setting of a traumatic injury. Today, there is not one single gold-standard reconstructive method or material; ongoing investigation and innovation continue to improve and transform condylar reconstruction. Herein, we review methods of condylar reconstruction focusing on autologous and alloplastic materials, surgical techniques, and recent technological advances.
下颌髁突是颞下颌关节(TMJ)的一个重要结构,不仅作为下颌开口的铰链点,还促进下颌生长并对面部美学有贡献。颞下颌关节的严重受损在功能、心理和美学方面都会使人衰弱。下颌髁突的重建很少是简单直接的。在准备髁突重建时必须考虑多个因素,例如确保根除所有慢性病变或感染的骨组织,在肿瘤切除后保证清晰的肿瘤切缘,或在创伤性损伤情况下实现周围结构的稳定。如今,没有一种单一的金标准重建方法或材料;持续的研究和创新不断改进和变革髁突重建。在此,我们回顾髁突重建的方法,重点关注自体和异体材料、手术技术以及最近的技术进展。