title: Extended Free Forearm Flap for Treatment of Temporomandibular Joint Pseudoankylosis.
abstract: Pseudoankylosis of temporomandibular joint (TMJ) is characterized by limited mouth opening and impaired mandibular mobility induced by pathologic factors outside the joint itself, usually leading to compromised speech, swallowing, and breath functions. Multiple surgical approaches or reconstructive procedures have been proposed to resolve the joint pseudoankylosis and restore the mandibular movement for these affected patients. Free forearm flap has been widely used in reconstruction for various congenital or acquired defects or deformities; however, this flap has been rarely employed for TMJ pseudoankylosis in the literature. Here, the authors reported that noma-induced TMJ pseudoankylosis was diagnosed and successfully treated by extended free forearm flap with length over 10 cm in a Chinese female patient.
authors.affiliation: Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, Jiangsu Province, China.
authors.forename: Ming
authors.initials: M
authors.lastname: Li
authors.forename: Hong-Bing
authors.initials: HB
authors.lastname: Jiang
authors.forename: Zhen-Jiang
authors.initials: ZJ
authors.lastname: Tao
authors.forename: Yu-Nong
authors.initials: YN
authors.lastname: Wu
mesh_terms: D000844:Ankylosis / Q000601:surgery*; D005260:Female; D005542:Forearm / Q000601:surgery*; D058752:Free Tissue Flaps; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013704:Temporomandibular Joint / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000601:surgery*