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Facial Plast Surg 2021; 37(06): 728-734
DOI: 10.1055/s-0041-1726444
Original Article

Reconstruction of the Mandibular Condyle

Spencer R. Anderson 
1   Department of Plastic and Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio
,
Kaitlynne Y. Pak
2   Wright State University Boonshoft School of Medicine, Dayton, Ohio
,
Aurora G. Vincent 
3   Facial Plastic Surgery Associates, Fort Worth, Texas
,
Adrian Ong
3   Facial Plastic Surgery Associates, Fort Worth, Texas
,
Yadranko Ducic
3   Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
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Abstract

The mandibular condyle is an integral structure in the temporomandibular joint (TMJ) serving not only as the hinge point for mandibular opening, but also facilitating mandibular growth and contributing to facial aesthetics. Significant compromise of the TMJ can be debilitating functionally, psychologically, and aesthetically. Reconstruction of the mandibular condyle is rarely straightforward. Multiple considerations must be accounted for when preparing for condylar reconstruction such as ensuring eradication of all chronically diseased or infected bone, proving clear oncologic margins following tumor resection, or achieving stability of the surrounding architecture in the setting of a traumatic injury. Today, there is not one single gold-standard reconstructive method or material; ongoing investigation and innovation continue to improve and transform condylar reconstruction. Herein, we review methods of condylar reconstruction focusing on autologous and alloplastic materials, surgical techniques, and recent technological advances.

Keywords

mandible reconstruction - condyle reconstruction - free tissue transfer - alloplastic

Note

This work does not necessarily represent the views of the Department of Defense or the United States Government.




Publication History

Article published online:
20 April 2021

© 2021. Thieme. All rights reserved.

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