Download PDF
OP-Journal 2013; 29(2): 184-199
DOI: 10.1055/s-0033-1351014
Georg Thieme Verlag KG Stuttgart · New York

Kombination von Kiefergelenkersatz und Rekonstruktionen in der Unterkieferkorpus- oder Jochbeinregion mit erweiterten maßgefertigten Endoprothesen

Combination of Temporo Mandibular Joint Replacement and Reconstructions in Mandibular Body or Zygoma Region with Extended, Custom-Made Endoprostheses
Carl-Peter Cornelius
,
Michael Ehrenfeld
,
Gerson Mast
,
Oliver Driemel
,
Anders Westermark
,
Christoph Leiggener
Further Information

Publication History

Publication Date:
20 January 2014 (online)

   Permissions and Reprints

Zusammenfassung

Heutzutage gilt der totale alloplastische Kiefergelenkersatz bei Pathologien mit irreversiblen Form- und Dimensionsänderungen des Processus condylaris mandibulae als verlässliche Behandlungsoption. Bei Defekten, die über den Gelenkfortsatz und die Gelenkgrube hinaus weitere Unterkiefereinheiten und/oder die Jochbogen/Jochbeinregion involvieren, lässt sich das Design individuell gefertigter Endoprothesen so gestalten, dass benachbarte Knochendefizite ausgeglichen werden können. Alloplastische Rekonstruktionen dieser Art kommen infrage, wenn autologe Rekonstruktionsverfahren mit erheblichem Zusatzaufwand verbunden oder nicht durchführbar sind. Während die anatomische Form und Konturgebung in ästhetisch und funktionell befriedigender Weise wiederhergestellt werden können, darf von einem alloplastischen Gelenkersatz mit Reduktion auf eine einfache Biomechanik von vornherein nicht erwartet werden, die Bewegungsabläufe und Interaktionen innerhalb des komplexen stomatognathen Systems vollkommen zu replizieren.

Abstract

Nowadays total alloplastic mandibular joint replacement is considered to be a reliable therapeutic option for pathologies with irreversible changes in shape and dimensions of the mandibular condyle. For defects that involve further units of the lower jaw and/or the zygom or zygomatic region beyond the articular process and the glenoid fossa, individual prostheses can be so designed that neigbouring bone deficits are also compensated for. Alloplastic reconstructions of this type may be taken into consideration when autologous reconstruction procedures would be very time-consuming or even impossible. Although the anatomic form and contours can be reconstructed in an aesthetic and functionally satisfactory manner, one cannot expect from an alloplastic joint replacement limited to simple biomechanics that the motion sequences and interactions within the complex stomatognathic system will be completely replicated.

 

  • Literatur

  • 1 Westermark A, Koppel D, Leiggener C. Condylar replacement alone is not sufficient for prosthetic reconstruction of the temporomandibular joint. Int J Oral Maxillofac Surg 2006; 35: 488-492
    CrossrefPubMedGoogle Scholar
  • 2 Freesmeyer WB. Zahnärztliche Funktionstherapie. München, Wien: Carl Hanser Verlag; 1993
    Google Scholar
  • 3 Yin CS, Lee YJ, Lee YJ. Neurological influences of the temporomandibular joint. J Bodyw Mov Ther 2007; 11: 285-294
    CrossrefPubMedGoogle Scholar
  • 4 Khadka A, Hu J. Autogenous grafts for condylar reconstruction in treatment of TMJ ankylosis: current concepts and considerations for the future. Int J Oral Maxillofac Surg 2012; 41: 94-102
    CrossrefPubMedGoogle Scholar
  • 5 Wolford LM, Cottrell DA, Henry C. Sternoclavicular grafts for temporomandibular joint reconstruction. J Oral Maxillofac Surg 1994; 52: 119-128 discussion 128–119
    CrossrefPubMedGoogle Scholar
  • 6 Spagnoli DB, Gollehon SG. Distraction osteogenesis in reconstruction of the mandible and temporomandibular joint. Oral Maxillofac Surg Clin North Am 2006; 18: 383-398 vi
    CrossrefPubMedGoogle Scholar
  • 7 Cheung LK, Lo J. The long-term effect of transport distraction in the management of temporomandibular joint ankylosis. Plast Reconstr Surg 2007; 119: 1003-1009
    CrossrefPubMedGoogle Scholar
  • 8 Saeed NR, Kent JN. A retrospective study of the costochondral graft in TMJ reconstruction. Int J Oral Maxillofac Surg 2003; 32: 606-609
    CrossrefPubMedGoogle Scholar
  • 9 Zanakis NS, Gavakos K, Faippea M et al. Application of custom-made TMJ prosthesis in hemifacial microsomia. Int J Oral Maxillofac Surg 2009; 38: 988-992
    CrossrefPubMedGoogle Scholar
  • 10 Westermark A, Heden P, Aagaard E et al. The use of TMJ Concepts prostheses to reconstruct patients with major temporomandibular joint and mandibular defects. Int J Oral Maxillofac Surg 2011; 40: 487-496
    CrossrefPubMedGoogle Scholar
  • 11 Lindqvist C, Soderholm AL, Hallikainen D et al. Erosion and heterotopic bone formation after alloplastic temporomandibular joint reconstruction. J Oral Maxillofac Surg 1992; 50: 942-949 discussion 950
    CrossrefPubMedGoogle Scholar
  • 12 Agaard E. Oral Presentation: Rationale for TMJ total joint replacement. International conference on TMJ biology, Diagnosis and Surgical Management. The Netherlands: University Medical Center Groningen; 2012 October 4 – 5.
    PubMedGoogle Scholar
  • 13 Driemel O, Braun S, Muller-Richter UD et al. Historical development of alloplastic temporomandibular joint replacement after 1945 and state of the art. Int J Oral Maxillofac Surg 2009; 38: 909-920
    CrossrefPubMedGoogle Scholar
  • 14 van Loon JP, de Bont LG, Stegenga B et al. Groningen temporomandibular joint prosthesis. Development and first clinical application. Int J Oral Maxillofac Surg 2002; 31: 44-52
    CrossrefPubMedGoogle Scholar
  • 15 Kolk A, Sader R, Zeilhofer HF et al. Kollumrekonstruktion nach Resektion einer intrakapsularen Magenkarzinommetastase. Mund Kiefer Gesichtschir 2003; 7: 306-310
    CrossrefPubMedGoogle Scholar
  • 16 Abramowicz S, Barbick M, Rose SP et al. Adaptability of stock TMJ prosthesis to joints that were previously treated with custom joint prosthesis. Int J Oral Maxillofac Surg 2012; 41: 518-520
    CrossrefPubMedGoogle Scholar
  • 17 Vega LG, Gonzalez-Garcia R, Louis PJ. Reconstruction of acquired temporomandibular joint defects. Oral Maxillofac Surg Clin North Am 2013; 25: 251-269
    CrossrefPubMedGoogle Scholar
  • 18 Wolford LM, Pitta MC, Reiche-Fischel O et al. TMJ Concepts/Techmedica custom-made TMJ total joint prosthesis: 5-year follow-up study. Int J Oral Maxillofac Surg 2003; 32: 268-274
    CrossrefPubMedGoogle Scholar
  • 19 Mercuri LG, Wolford LM, Sanders B et al. Custom CAD/CAM total temporomandibular joint reconstruction system: preliminary multicenter report. J Oral Maxillofac Surg 1995; 53: 106-115 discussion 115–116
    CrossrefPubMedGoogle Scholar
  • 20 Mercuri LG, Wolford LM, Sanders B et al. Long-term follow-up of the CAD/CAM patient fitted total temporomandibular joint reconstruction system. J Oral Maxillofac Surg 2002; 60: 1440-1448
    CrossrefPubMedGoogle Scholar
  • 21 Mercuri LG. Total joint reconstruction–autologous or alloplastic. Oral Maxillofac Surg Clin North Am 2006; 18: 399-410 vii
    CrossrefPubMedGoogle Scholar
  • 22 Pitta MC, Wolford LM. Use of acrylic spheres as spacers in staged temporomandibular joint surgery. J Oral Maxillofac Surg 2001; 59: 704-706
    CrossrefPubMedGoogle Scholar
  • 23 Rasse M, Fialka V, Paternostro T. Modifikationen des Zugangs zum Kiefergelenk und Ramus mandibulae. Acta Chir Austriaca 1993; 25: 49-55
    CrossrefPubMedGoogle Scholar
  • 24 Mercuri LG. Avoiding and managing temporomandibular joint total joint replacement surgical site infections. J Oral Maxillofac Surg 2012; 70: 2280-2289
    CrossrefPubMedGoogle Scholar
  • 25 Wolford LM. Clinical indications for simultaneous TMJ and orthognathic surgery. Cranio 2007; 25: 273-282
    PubMedGoogle Scholar
  • 26 Wolford LM, Rodrigues DB, McPhillips A. Management of the infected temporomandibular joint total joint prosthesis. J Oral Maxillofac Surg 2010; 68: 2810-2823
    CrossrefPubMedGoogle Scholar
  • 27 Wolford LM, Dhameja A. Planning for combined TMJ arthroplasty and orthognathic surgery. Atlas Oral Maxillofac Surg Clin North Am 2011; 19: 243-270
    CrossrefPubMedGoogle Scholar
  • 28 Zizelmann C, Bucher P, Rohner D et al. Virtual restoration of anatomic jaw relationship to obtain a precise 3D model for total joint prosthesis construction for treatment of TMJ ankylosis with open bite. Int J Oral Maxillofac Surg 2010; 39: 1012-1015
    CrossrefPubMedGoogle Scholar
  • 29 Zizelmann C, Hammer B, Gellrich NC et al. An evaluation of face-bow transfer for the planning of orthognathic surgery. J Oral Maxillofac Surg 2012; 70: 1944-1950
    CrossrefPubMedGoogle Scholar
  • 30 Roser M, Cornelius CP, Gehrke G et al. Osteotomien im Gesichtsskelett-Basis der Orthognathen Chirurgie: Befunderhebung, präoperative Planung und individuelle Realisation bei Korrekturoperationen von Kiefer- und Gesichtsdeformitäten. OP-Journal 2011; 27: 200-221
    PubMedGoogle Scholar
  • 31 Mercuri LG, Edibam NR, Giobbie-Hurder A. Fourteen-year follow-up of a patient-fitted total temporomandibular joint reconstruction system. J Oral Maxillofac Surg 2007; 65: 1140-1148
    CrossrefPubMedGoogle Scholar
  • 32 Cornelius CP, Ehrenfeld M, Schwenzer N. Zur Unterkieferrekonstruktion im Wachstumsalter. Fortschr Kiefer Gesichtschir 1994; 39: 141-146
    PubMedGoogle Scholar
  • 33 Eckardt AM, Barth EL, Berten J et al. Pediatric mandibular resection and reconstruction: long-term results with autogenous rib grafts. Craniomaxillofac Trauma Reconstr 2010; 3: 25-32
    Article in Thieme ConnectPubMedGoogle Scholar
  • 34 Coleman SR. Structural Fat Grafting. St. Louis: Quality Medical Publishing; 2004
    Google Scholar
  • 35 Coleman SR. “Facial augmentation with structural fat grafting”. Clin Plast Surg 2006; 33: 567-577
    CrossrefPubMedGoogle Scholar
  • 36 Suei Y, Taguchi A, Tanimoto K. Diagnostic points and possible origin of osteomyelitis in synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome: a radiographic study of 77 mandibular osteomyelitis cases. Rheumatology (Oxford) 2003; 42: 1398-1403
    CrossrefPubMedGoogle Scholar
  • 37 McPhillips A, Wolford LM, Rodrigues DB. SAPHO syndrome with TMJ involvement: review of the literature and case presentation. Int J Oral Maxillofac Surg 2010; 39: 1160-1167
    CrossrefPubMedGoogle Scholar
  • 38 Salles M, Olive A, Perez-Andres R et al. The SAPHO syndrome: a clinical and imaging study. Clin Rheumatol 2011; 30: 245-249
    CrossrefPubMedGoogle Scholar
  • 39 Zemann W, Pau M, Feichtinger M et al. SAPHO syndrome with affection of the mandible: diagnosis, treatment, and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111: 190-195
    PubMedGoogle Scholar
  • 40 Niederdellmann H, Sadowy K, Reindl P. Der individuelle Unterkieferersatz nach ausgedehnten Kontinuitatsresektionen. Dtsch Z Mund Kiefer Gesichtschir 1988; 12: 330-332
    PubMedGoogle Scholar
  • 41 Goncalves JR, Gomes LC, Vianna AP et al. Airway space changes after maxillomandibular counterclockwise rotation and mandibular advancement with TMJ Concepts® total joint prostheses: three-dimensional assessment. Int J Oral Maxillofac Surg 2013; 42: 1014-1022
    CrossrefPubMedGoogle Scholar
  • 42 Leiggener CS, Erni S, Gallo LM. Novel approach to the study of jaw kinematics in an alloplastic TMJ reconstruction. Int J Oral Maxillofac Surg 2012; 41: 1041-1045
    CrossrefPubMedGoogle Scholar
  • 43 Gallo LM. Modeling of temporomandibular joint function using MRI and jaw-tracking technologies–mechanics. Cells Tissues Organs 2005; 180: 54-68
    CrossrefPubMedGoogle Scholar
  • 44 Celebi N, Rohner EC, Gateno J et al. Development of a mandibular motion simulator for total joint replacement. J Oral Maxillofac Surg 2011; 69: 66-79
    CrossrefPubMedGoogle Scholar
  • 45 Voiner J, Yu J, Deitrich P et al. Analysis of mandibular motion following unilateral and bilateral alloplastic TMJ reconstruction. Int J Oral Maxillofac Surg 2011; 40: 569-571
    CrossrefPubMedGoogle Scholar
  • 46 Linsen SS, Reich RH, Teschke M. Mandibular kinematics in patients with alloplastic total temporomandibular joint replacement–a prospective study. J Oral Maxillofac Surg 2012; 70: 2057-2064
    CrossrefPubMedGoogle Scholar
  • 47 Linsen SS, Reich RH, Teschke M. Pressure pain threshold and oral health-related quality of life implications of patients with alloplastic temporomandibular joint replacement–a prospective study. J Oral Maxillofac Surg 2012; 70: 2531-2542
    CrossrefPubMedGoogle Scholar
  • 48 Quinn PD, Giannakopoulos H, Carrasco L. Management of surgical failures. Oral Maxillofac Surg Clin North Am 2006; 18: 411-417 vii
    CrossrefPubMedGoogle Scholar
  • 49 Mercuri LG. Microbial biofilms: a potential source for alloplastic device failure. J Oral Maxillofac Surg 2006; 64: 1303-1309
    CrossrefPubMedGoogle Scholar
  • 50 Mercuri LG. Avoiding and managing temporomandibular joint total joint replacement surgical site infections. J Oral Maxillofac Surg 2012; 70: 2280-2289
    CrossrefPubMedGoogle Scholar
  • 51 Stewart PS, Costerton JW. Antibiotic resistance of bacteria in biofilms. Lancet 2001; 358: 135-138
    CrossrefPubMedGoogle Scholar
  • 52 Costerton JW. Biofilm theory can guide the treatment of device-related orthopaedic infections. Clin Orthop Relat Res 2005; 7-11
    PubMedGoogle Scholar
  • 53 Hogan K, Herman A, Nicholson S et al. Late extrusion of a temporomandibular joint prosthesis masquerading as a sebaceous cyst. J Plast Reconstr Aesthet Surg 2013; 66: e313-e314
    CrossrefPubMedGoogle Scholar
  • 54 Wolford LM, Karras SC. Autologous fat transplantation around temporomandibular joint total joint prostheses: preliminary treatment outcomes. J Oral Maxillofac Surg 1997; 55: 245-251 discussion 251–252
    CrossrefPubMedGoogle Scholar
  • 55 Wolford LM, Morales-Ryan CA, Morales PG et al. Autologous fat grafts placed around temporomandibular joint total joint prostheses to prevent heterotopic bone formation. Proc (Bayl Univ Med Cent) 2008; 21: 248-254
    PubMedGoogle Scholar
  • 56 Mercuri LG. Total joint reconstruction–autologous or alloplastic. Oral Maxillofac Surg Clin North Am 2006; 18: 399-410 vii
    CrossrefPubMedGoogle Scholar
  • 57 Saeed NR, Hensher R, McLeod MH et al. Reconstruction of the temporomandibular joint: autogenous compared with alloplastic. Br J Oral Maxillofac Surg 2002; 40: 296-299
    CrossrefPubMedGoogle Scholar
  • 58 Tang W, Long J, Feng F et al. Condyle replacement after tumor resection: comparison of individual prefabricated titanium implants and costochondral grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 147-152
    PubMedGoogle Scholar
  • 59 Bond SE, Saeed NR, Cussons PD et al. Reconstruction of the temporomandibular joint by the transfer of the free vascularised second metatarsal. Br J Oral Maxillofac Surg 2004; 42: 241-245
    PubMedGoogle Scholar
  • 60 Potter JK, Dierks EJ. Vascularized options for reconstruction of the mandibular condyle. Semin Plast Surg 2008; 22: 156-160
    Article in Thieme ConnectPubMedGoogle Scholar
  • 61 Engroff SL. Fibula flap reconstruction of the condyle in disarticulation resections of the mandible: a case report and review of the technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 661-665
    PubMedGoogle Scholar
  • 62 Gonzalez-Garcia R, Naval-Gias L, Rodriguez-Campo FJ et al. Vascularized fibular flap for reconstruction of the condyle after mandibular ablation. J Oral Maxillofac Surg 2008; 66: 1133-1137
    CrossrefPubMedGoogle Scholar
  • 63 Thor A, Rojas RA, Hirsch JM. Functional reconstruction of the temporomandibular joint with a free fibular microvascular flap. Scand J Plast Reconstr Surg Hand Surg 2008; 42: 233-240
    CrossrefPubMedGoogle Scholar
  • 64 Infante-Cossio P, Torres-Lagares D, Martinez-de-Fuentes R et al. Dental restoration with endosseous implants after mandibular reconstruction using a fibula free flap and TMJ prosthesis: a patient report. Int J Oral Maxillofac Implants 2006; 21: 481-485
    PubMedGoogle Scholar
  • 65 Landes C, Korzinskas T, Dehner JF et al. One-stage microvascular mandible reconstruction and alloplastic TMJ prosthesis. J Craniomaxillofac Surg 2013; DOI: 10.1016/j.jcms.2013.01.043.
    PubMedGoogle Scholar
  • 66 Winters R, Saad A, Beahm DD et al. Total autogenous mandibular reconstruction using virtual surgical planning. J Craniofac Surg 2012; 23: e405-e407
    CrossrefPubMedGoogle Scholar
  • 67 Marx RE, Cillo jr. JE, Broumand V et al. Outcome analysis of mandibular condylar replacements in tumor and trauma reconstruction: a prospective analysis of 131 cases with long-term follow-up. J Oral Maxillofac Surg 2008; 66: 2515-2523
    CrossrefPubMedGoogle Scholar
  • 68 Wolford LM, Bourland TC, Rodrigues D et al. Successful reconstruction of nongrowing hemifacial microsomia patients with unilateral temporomandibular joint total joint prosthesis and orthognathic surgery. J Oral Maxillofac Surg 2012; 70: 2835-2853
    CrossrefPubMedGoogle Scholar
  • 69 Probst FA, Schiel S, Cornelius CP et al. Vorgeformte winkelstabile Rekonstruktionsplatten zur Überbrückung von Defektzonen im Unterkiefer. OP-Journal 2012; 28: 188-192
    PubMedGoogle Scholar
  • 70 Westermark A, Leiggener C, Aagaard E et al. Histological findings in soft tissues around temporomandibular joint prostheses after up to eight years of function. Int J Oral Maxillofac Surg 2011; 40: 18-25
    CrossrefPubMedGoogle Scholar
  • 71 Ruiz Valero CA, Duran-Rodriguez G, Solano-Parra N et al. Immediate Total TMJ Replacement with TMJ Concepts® Prosthesis as an Alternative for Ameloblastoma cases. J Oral and Maxillofac Surg 2013; [Epub September 27]
    PubMedGoogle Scholar
  • 72 Mercuri LG. A rationale for total alloplastic temporomandibular joint reconstruction in the management of idiopathic progressive condylar resorption. J Oral Maxillofac Surg 2007; 65: 1600-1609
    CrossrefPubMedGoogle Scholar
  • 73 Mehra P, Wolford LM, Baran S et al. Single-stage comprehensive surgical treatment of the rheumatoid arthritis temporomandibular joint patient. J Oral Maxillofac Surg 2009; 67: 1859-1872
    CrossrefPubMedGoogle Scholar
  • 74 Mercuri LG. Alloplastic temporomandibular joint replacement: rationale for the use of custom devices. Int J Oral Maxillofac Surg 2012; 41: 1033-1040
    CrossrefPubMedGoogle Scholar