title: Surgical management of congenital deformities with temporomandibular joint malformation.
abstract: This article discusses hemifacial microsomia and Treacher Collins syndrome relative to the nature of these congenital deformities as well as the clinical, radiographic, and diagnostic characteristics. These patients often have severe facial deformities with hypoplasia or aplasia of the temporomandibular joints (TMJs) and mandible. The surgical treatment options are presented, including the advantages and disadvantages of autogenous tissues versus patient-fitted total joint prostheses to reconstruct the TMJs and mandible as well as counterclockwise rotation of the maxillomandibular complex.
authors.affiliation: Departments of Oral and Maxillofacial Surgery and Orthodontics Texas, A&M University Health Science Center Baylor College of Dentistry, Baylor University Medical Center, 3409 Worth St. Suite 400, Dallas, TX 75246, USA. Electronic address: lwolford@drlarrywolford.com.
authors.forename: Larry M
authors.initials: LM
authors.lastname: Wolford
authors.affiliation: Departments of Oral and Maxillofacial Surgery and Orthodontics Texas, A&M University Health Science Center Baylor College of Dentistry, Baylor University Medical Center, 3409 Worth St. Suite 400, Dallas, TX 75246, USA.
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Perez
mesh_terms: D016025:Bone Transplantation; D006053:Goldenhar Syndrome / Q000209:etiology / Q000601:surgery; D006801:Humans; D007595:Joint Prosthesis; D008342:Mandibulofacial Dysostosis / Q000150:complications / Q000601:surgery; D056948:Orthognathic Surgical Procedures; D019651:Plastic Surgery Procedures; D013704:Temporomandibular Joint / Q000002:abnormalities* / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000209:etiology / Q000601:surgery*
keywords: Autogenous tissue grafts; Counterclockwise rotation; Hemifacial microsomia (HFM); Orthognathic surgery; Patient-fitted total joint prostheses; Periarticular fat grafts; TMJ reconstruction; Treacher Collins syndrome (TCS)