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Temporomandibular Joint Condylar Osteochondroma: Complete Condylectomy and Joint Replacement Versus Low Condylectomy and Joint Preservation
- Source :
- Journal of Oral and Maxillofacial Surgery. 74:911-925
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- Recommended treatment for patients with osteochondromas of the mandibular condyle is to perform complete condylectomy with joint replacement. Low condylectomy with joint preservation has recently been proposed as a treatment option. This study compared the outcomes of these treatment options in patients with condylar osteochondromas.Patients were divided into 2 groups: patients who underwent complete condylectomy and joint replacement (group A, n = 13) and patients who underwent low condylectomy and joint preservation (group B, n = 8). To optimize occlusion, function, and esthetics, maxillary and mandibular orthognathic procedures were performed as necessary to re-establish vertical ramus height. Outcomes were measured clinically and radiographically.The 2 groups showed significant clinical improvement (P.05), with no tumor recurrence. Group A had increased operating room (OR) time and donor-site complications in those who received autogenous joint reconstruction compared with alloplastic joint replacement. Group B had a shorter OR duration with quicker postoperative recovery. Orthognathic procedures were stable in all cases.Complete and low condylectomies are viable options for the surgical management of osteochondromas of the mandibular condyle. If temporomandibular joint (TMJ) reconstruction is required, patient-fitted TMJ replacements provide similar clinical outcomes as autogenous reconstruction, but have the advantages of eliminating donor-site morbidity and decreasing operating time.
- Subjects :
- Adult
Male
Osteochondroma
Adolescent
Joint replacement
medicine.medical_treatment
Operative Time
Dentistry
Mandibular Neoplasms
Condyle
Young Adult
03 medical and health sciences
0302 clinical medicine
stomatognathic system
Occlusion
medicine
Humans
Arthroplasty, Replacement
Orthodontics
Temporomandibular Joint
business.industry
Mandibular Condyle
030206 dentistry
Middle Aged
Temporomandibular Joint Disorders
medicine.disease
Arthroplasty
Temporomandibular joint
Treatment Outcome
medicine.anatomical_structure
Otorhinolaryngology
030220 oncology & carcinogenesis
Female
Surgery
Ramus height
Oral Surgery
business
Subjects
Details
- ISSN :
- 02782391
- Volume :
- 74
- Database :
- OpenAIRE
- Journal :
- Journal of Oral and Maxillofacial Surgery
- Accession number :
- edsair.doi.dedup.....b63e5016ca01d830364fe3ae5ada80e2