title: A monolateral TMJ replacement under intraoral endoscopic assistance for jaw osteomielitis: a modified approach.
abstract: Alloplastic replacement has become a valid treatment for TMJ endstage disease. The Alkayat and Bramley pre-auricular approach combined with the submandibular incision are the current surgical approaches for TMJ surgery. The present study shows a modified approach using intraoral endoscopic assistance. A female patient affected by jaw osteomielitis with condylar detachment was treated with total left TMJ alloplastic replacement combined with a right TMJ arthroplasty. No subamandibular incision was performed and, subsequently, the risks for permanent or temporary damage to the marginalis mandibulae nerve and surgical submandibular scar were avoided. Postoperative CT-Scan evidenced a good prosthesis position. No complications occurred after two years of follow-up.
authors.forename: E
authors.initials: E
authors.lastname: Belli
authors.forename: E
authors.initials: E
authors.lastname: Mici
authors.forename: N
authors.initials: N
authors.lastname: Mazzone
authors.forename: L
authors.initials: L
authors.lastname: Catalfamo
authors.forename: G
authors.initials: G
authors.lastname: Fini
authors.forename: G M
authors.initials: GM
authors.lastname: Liberatore
mesh_terms: D000328:Adult; D019643:Arthroplasty, Replacement / Q000379:methods*; D004945:Esophagoscopy / Q000379:methods; D005260:Female; D006801:Humans; D010019:Osteomyelitis / Q000601:surgery*; D011474:Prosthesis Design; D013704:Temporomandibular Joint / Q000601:surgery*; D016896:Treatment Outcome
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