Maxillofacial Plastic and Reconstructive Surgery

  • Volume 41
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  • Pages.41.1-41.6
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  • 2019
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Total joint reconstruction using computer-assisted surgery with stock prostheses for a patient with bilateral TMJ ankylosis

  • Rhee, Seung-Hyun (Department of Oral and Maxillofacial Surgery, Seoul National University, Dental Hospital) ;
  • Baek, Seung-Hak (Department of Orthodontics, School of Dentistry, Dental Research Institute, Seoul National University) ;
  • Park, Sang-Hun (Department of Oral and Maxillofacial Surgery, Seoul National University, Dental Hospital) ;
  • Kim, Jong-Cheol (Mir Dental Hospital) ;
  • Jeong, Chun-Gi (FACEGIDE, Division of Digital Business, Megagen Implant) ;
  • Choi, Jin-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Research Institute, Seoul National University)
  • Received : 2019.08.01
  • Accepted : 2019.08.27
  • Published : 2019.12.31
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Abstract

Backgrounds: The purpose of this study is to discuss the total joint reconstruction surgery for a patient with recurrent ankylosis in bilateral temporomandibular joints (TMJs) using three-dimensional (3D) virtual surgical planning, computer-aided manufacturing (CAD/CAM)-fabricated surgical guides, and stock TMJ prostheses. Case presentation: A 66-year-old female patient, who had a history of multiple TMJ surgeries, complained of severe difficulty in eating and trismus. The 3D virtual surgery was performed with a virtual surgery software (FACEGIDE, MegaGen implant, Daegu, South Korea). After confirmation of the location of the upper margin for resection of the root of the zygoma and the lower margin for resection of the ankylosed condyle, and the position of the fossa and condyle components of stock TMJ prosthesis (Biomet, Jacksonville, FL, USA), the surgical guides were fabricated with CAD/CAM technology. Under general anesthesia, osteotomy and placement of the stock TMJ prosthesis (Biomet) were carried out according to the surgical planning. At 2 months after the operation, the patient was able to open her mouth up to 30 mm without complication. Conclusion: For a patient who has recurrent ankylosis in bilateral TMJs, total joint reconstruction surgery using 3D virtual surgical planning, CAD/CAM-fabricated surgical guides, and stock TMJ prostheses may be an effective surgical treatment option.

Keywords

References

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