Joint and mandibular reconstruction with customized prosthesis

PAULO AFONSO OLIVEIRA JUNIOR, DANILO DRESSANO, ARMANDO DE BARROS, FELIPE CALILE FRANCK, JOÃO LISBOA DE SOUSA FILHO

The objective of the present work is to present a 18-years follow-up of a patient diagnosed with an extensive odontogenic mixoma that affected the right side of the mandible. In the first surgery, a mandibulectomy was performed, followed by a free fibula flap reconstruction. Fourteen years after the surgery, the patient returned and a fracture of the grafts proximal segment was noted. This complication was solved with the installation of a customized prosthesis to reconstruct the right temporomandibular joint (TMJ) and half part of the mandible. Four years after the prosthesis installation, the patient has a satisfactory occlusion, no pain, oral aperture of 47 mm and an excellent facial contour. The importance of this case is based on the few reports with this kind of reconstruction in the literature. In conclusion, the TMJ customized prosthesis is an excellent option for selected cases in which the articular and mandibular reconstruction are required.

Keywords: Joint diseases. Mandibular prosthesis. Joint prosthesis.

How to cite: Oliveira Junior PA, Dressano D, Barros A, Franck FC, Sousa Filho JL. Joint and mandibular reconstruction with customized prosthesis. J Braz Coll Oral Maxillofac Surg. 2021 May-Aug;7(2):50-5.

Tuesday, May 14, 2024 02:44