ABSTRACT
The temporomandibular joint is elegant in its design, which may make it difficult
if not impossible to comprehensively reconstruct. Although a broad range of nonvascularized
options exists for reconstruction of degenerative conditions of the temporomandibular
joint, vascularized reconstructions such as the fibula or the second metatarsal phalangeal
joint are more appropriate for defects resulting from oncologic resection or in patients
with compromised soft tissue. An anatomically based classification system for these
defects is presented.
KEYWORDS
Temporomandibular - TMJ - replacement - fibula - metatarsal-phalangeal - joint - vascularized
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Jason K PotterD.D.S.
M.D., Head & Neck Surgical Associates
1849 NW Kearney #300, Portland, OR 97209