Reconstruction of Temporomandibular Joint With a Fibula Free Flap: A Case Report With a Histological Study.
Reconstruction of the temporomandibular joint (TMJ) for congenital or acquired deformities is a major challenge for maxillofacial surgeons. The alternatives for reconstructing the TMJ include free grafts (costochondral, iliac crest, clavicle, or metatarsus), free flaps (fibula), osteogenic distraction, and alloplastic grafts. The lack of biological knowledge of cartilaginous grafts and their reaction to the environment of the TMJ is largely responsible for the inability to predict growth. This report describes the use of a free flap for TMJ reconstruction.
Maxillofacial Surgeon, Hospital del Salvador; Maxillofacial Surgeon, Hospital San Borja Arriarán; Professor, Department of Oral and Maxillofacial Surgery, Dentistry School, Universidad de Chile, Santiago, Chile. Electronic address: rofari@gmail.com.
Rodrigo
R
Fariña
Resident, Department of Oral and Maxillofacial Surgery, Dentistry School, Hospital San Borja Arriarán, Universidad de Chile, Santiago, Chile.
Pía
P
Campos
Resident, Department of Oral and Maxillofacial Surgery, Dentistry School, Hospital San Borja Arriarán, Universidad de Chile, Santiago, Chile.
Javiera
J
Beytía
Professor of Oral Pathology at the Faculty of Odontology of The Mayor University, Avda Liber Bernardo O'Higgins, Santiago, Región Metropolitana, Chile.
Benjamín
B
Martínez
D000293:Adolescent; D001165:Arteriovenous Malformations / Q000601:surgery*; D002680:Chin / Q000098:blood supply*; D054893:Cone-Beam Computed Tomography; D005360:Fibula / Q000637:transplantation*; D058752:Free Tissue Flaps / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D063175:Mandibular Reconstruction / Q000379:methods*; D011862:Radiography, Panoramic; D013704:Temporomandibular Joint / Q000473:pathology / Q000601:surgery*