title: Total temporomandibular joint reconstruction with a Delrin titanium implant.
abstract: Numerous alloplastic materials have been used for partial or total reconstruction of the temporomandibular joint in patients with fibrous or bony ankylosis, severe degenerative joint disease, or traumatic deformity, and for reconstruction following tumor resection and corrective surgery following multiple arthroplasties. We have had initial success with the use of a polyoxymethylene (Delrin) condylar head affixed to a pure titanium mesh for these reconstructive procedures. This versatile prosthesis does not require use of a separate glenoid fossa prosthesis. The surgical technique, as well as a historical perspective on alloplastic total joint prostheses used to date, is described in several patients.
authors.affiliation: Oral and Maxillofacial Surgery Clinic, University of Pennsylvania, School of Dental Medicine, Philadelphia 19104.
authors.forename: K A
authors.initials: KA
authors.lastname: MacAfee
authors.forename: P D
authors.initials: PD
authors.lastname: Quinn
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008335:Mandibular Condyle / Q000601:surgery; D008875:Middle Aged; D012117:Resins, Synthetic; D013526:Surgical Mesh; D013704:Temporomandibular Joint / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D014025:Titanium
chemical_list: D012117:Resins, Synthetic; C010102:delrin; D014025:Titanium