Maxillofacial Plastic and Reconstructive Surgery

  • 제41권
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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)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
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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)
  • 투고 : 2019.08.01
  • 심사 : 2019.08.27
  • 발행 : 2019.12.31
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초록

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.

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참고문헌

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피인용 문헌

  1. Counter-Clockwise Rotation of Maxillomandibular Complex and Customized Joint Reconstruction as a Single Stage Management for Facial Deformity in Temporomandibular Joint Ankylosis: A 2 Year Follow-Up vol.6, 2019, https://doi.org/10.1177/24727512211032876
  2. Stability of the Natural Joint Side in Unilateral Alloplastic Total Temporomandibular Joint Replacement Using a Ready-Made System vol.11, pp.9, 2019, https://doi.org/10.3390/app11093935
  3. A Preliminary Analysis of the Wear Pathways of Sliding Contacts on Temporomandibular Joint Total Joint Replacement Prostheses vol.11, pp.5, 2019, https://doi.org/10.3390/met11050685
  4. Correction of facial asymmetry using a patient-specific three-dimensional printed polycarprolactone/beta tricalcium phosphate scaffold: a case report vol.45, pp.3, 2019, https://doi.org/10.21851/obr.45.03.202109.143