Chaware Suresh
Department of Plastic and Reconstructive Surgery, Saundaryacity Hair Transplant and Plastic Surgery Clinic, Dhantoli, Nagpur, India.
Indian J Plast Surg. 2024 Oct 18;58(2):115-122. doi: 10.1055/s-0044-1791944. eCollection 2025 Apr.
Total temporomandibular joint replacement (TMJR) is a surgical intervention employed for the management of advanced temporomandibular joint (TMJ) disorders, particularly when autogenous grafts are not recommended. With stainless steel implant of glenoid fossa attempted for the correction of ankylosis in the 1960s, total TMJR-which minimizes foreign body reaction and consists of highly biocompatible materials such as Cr-Co-Mo alloy, titanium, and ultra-high-molecular-weight polyethylene-began to be applied. These alloplastic prostheses are available in both standardized and customized forms, comprising components for the mandibular condyle and glenoid fossa. The present case report presents India's first TMJR in a 12-year-old female patient with TMJ ankylosis. Total TMJR was done in her with India's first customized TMJ prosthesis (Samsid TMJ prosthesis), which was designed and manufactured by the author for the first time in India. This study presents a 16-year follow-up of customized TMJR, addressing TMJ ankylosis. Our research showcases the long-term success of Samsid TMJ prostheses in improving pain, oral function, diet, and overall quality of life. The case report also highlights the potential of Samsid TMJ prostheses as a valuable solution for TMJ patients, emphasizing the importance of tailored solutions for lasting joint function restoration. The results presented indicate that the Samsid patient-fitted total TMJR system remains a secure, efficient, and dependable long-term treatment option for the particular patient demographic examined in this research.
全颞下颌关节置换术(TMJR)是一种用于治疗晚期颞下颌关节(TMJ)疾病的外科手术,尤其是在不推荐使用自体移植物的情况下。20世纪60年代曾尝试用不锈钢植入关节窝来矫正关节强直,而全TMJR——可将异物反应降至最低,由铬钴钼合金、钛和超高分子量聚乙烯等高生物相容性材料组成——开始得到应用。这些人工假体有标准化和定制两种形式,包括下颌髁突和关节窝的组件。本病例报告介绍了印度首例为一名患有TMJ关节强直的12岁女性患者进行的TMJR。为她进行了全TMJR,使用的是印度首个定制的TMJ假体(Samsid TMJ假体),该假体由作者在印度首次设计和制造。本研究对定制TMJR治疗TMJ关节强直进行了16年的随访。我们的研究展示了Samsid TMJ假体在改善疼痛、口腔功能、饮食和整体生活质量方面的长期成功。该病例报告还强调了Samsid TMJ假体作为TMJ患者的一种有价值解决方案的潜力,强调了定制解决方案对持久恢复关节功能的重要性。给出的结果表明,对于本研究中所研究的特定患者群体,Samsid患者适配全TMJR系统仍然是一种安全、高效且可靠的长期治疗选择。