[Postoperative evaluation of surgically treated cases with temporary silicone implant in temporomandibular joint].
We have carried out temporary silicone implants after diskectomies or arthroplasties in temporomandibular joint surgeries to avoid postoperative adhesion and to maintain articular space. We evaluated 19 joints in 15 patients who had received dacron-reinforced silicone implant after silicone sheet removal through follow-up for at least 6 months. The cases included temporomandibular joint disorder (10 joints in 9 patients), psoriatic arthritis (2 joints in 1 patient), ankylosis (4 joints in 3 patients) and synovial chondromatosis (2 joints in 2 patients). On the basis of the criteria of temporomandibular dysfunction for the results, they were classified as bad (4 patients). It is thought that factors other than the implant are related to the bad results in the postoperative evaluation. In this study, lymphadenopathy induced by exfoliated silicone debris could not be confirmed. The temporary silicone implant in the temporomandibular joint was thought to be useful.
Department of Maxillofacial Reconstruction and Funtion, Division of Maxillofacial/Neck Reconstruction, Graduate School, Tokyo Medical and Dental University.
Shigeru
S
Aoyama
Koji
K
Kino
Toshihisa
T
Shibuya
Fumiaki
F
Sato
Akiko
A
Kobayashi
Hiroyuki
H
Yoshitake
Tadasu
T
Haketa
Yoko
Y
Amamori
Takayuki
T
Ishikawa
Nahoko
N
Yoshida
Teruo
T
Amagasa
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012828:Silicones; D013704:Temporomandibular Joint / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome
D012828:Silicones