Magnetic resonance imaging and clinical evaluation of the temporo-mandibular joint after mandibular reconstruction

https://doi.org/10.53730/ijhs.v5nS2.13696

Authors

  • Mohamed Refaat Omar Lecturer, Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine Deraya University, Minia, Egypt
  • Fatma Ibrahim Mohamed Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine Deraya University, Minia, Egypt
  • Hassan Gamal Sadek Professor, Head of Oral and Maxillofacial Surgery Department, International Medical Center, Cairo, Egypt
  • Reham Abdelrahman Abdelsalam Associate lecturer, Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine Deraya University, Minia, Egypt
  • Eslam Sayed Ahmed Associate Lecturer, Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine Suez-Canal University, Minia Egypt
  • Emadeldin Saad Mohamed Lecturer, Department of Oral and Maxillofacial Surgery, Military Medical Academy, Cairo, Egypt

Keywords:

magnetic resonance imaging, clinical evaluation, temporo-mandibular joint, mandibular reconstruction

Abstract

The aim of this retrospective study was to assess, clinically and by MRI the short and long term effect of unilateral mandibular segmental repair by reconstruction plate on the ipsilateral and contralateral TMJ. 18 adult patients (12 male & 6 female) with history of mandibular reconstruction by titanium reconstruction bone plate were included. The age range was 32-66 years (mean 49years). The condyle in the reconstruction side was preserved. Based on the follow up period following the reconstruction, three groups were established. Magnetic resonance imaging was performed for all patients at the recommended follow up periods. Clinical examination also was done for all the patients in the same intervals. The result of this study demonstrated that there were no statistically significant differences noted between the three groups regarding the clinical data and also there were no significant differences between the MRI findings in all groups.

Downloads

Download data is not yet available.

References

Atilgan, S., Erol, B., Yardimeden, A., Yaman, F., Ucan, M. C., Gunes, N., ... & Kose, I. (2010). A three dimensional analysis of reconstruction plates used in different mandibular defects. Biotechnology & Biotechnological Equipment, 24(2), 1893-1896.

Banoriya, D., Purohit, R., & Dwivedi, R. K. (2015). Modern trends in rapid prototyping for biomedical applications. Materials Today: Proceedings, 2(4-5), 3409-3418

Bettoni, J., Olivetto, M., Duisit, J., Caula, A., Testelin, S., Dakpé, S., & Devauchelle, B. (2019). The value of reconstructive surgery in the management of refractory jaw osteoradionecrosis: a single-center 10-year experience. International journal of oral and maxillofacial surgery, 48(11), 1398-1404.

Chang, E. I., Jenkins, M. P., Patel, S. A., & Topham, N. S. (2016). Long-term operative outcomes of preoperative computed tomography–guided virtual surgical planning for osteocutaneous free flap mandible reconstruction. Plastic and reconstructive surgery, 137(2), 619-623.

Chao, A. H., Weimer, K., Raczkowsky, J., Zhang, Y., Kunze, M., Cody, D., ... & Skoracki, R. J. (2016). Pre‐programmed robotic osteotomies for fibula free flap mandible reconstruction: A preclinical investigation. Microsurgery, 36(3), 246-249.

Choi JY, Choi JH, Kim NK, Kim Y, Lee JK, Kim MK, Lee JH, Kim MJ. Analysis of errors in medical rapid prototyping models. International journal of oral and maxillofacial surgery. 2002 Feb 1; 31(1):23-32.

Cronier, P., Pietu, G., Dujardin, C., Bigorre, N., Ducellier, F., & Gerard, R. (2010). The concept of locking plates. Orthopaedics & Traumatology: Surgery & Research, 96(4), S17-S36.

Gil RS, Roig AM, Obispo CA, Morla A, Pagès CM, Perez JL. Surgical planning and microvascular reconstruction of the mandible with a fibular flap using computer-aided design, rapid prototype modelling, and precontoured titanium reconstruction plates: a prospective study. British Journal of Oral and Maxillofacial Surgery. 2015 Jan 1;53(1):49-53.

Gupta, S. (2020). Use of 3D Printing and Virtual 3D Imaging to aid Mandibular Reconstruction: A Low Cost, Easy and Reproducible Methodology at Our Center. Journal of Aesthetic & Reconstructive Surgery, 6(3), 11.

Han, J.J.; Hwang, S.J. Three-dimensional analysis of postoperative returning movement of perioperative condylar displacement after bilateral sagittal split ramus osteotomy for mandibular setback with different fixation methods. J. CranioMaxillofac. Surg. 2015, 43, 1918–1925.

Kang, S. H., Lee, S., & Nam, W. (2019). Condyle dislocation following mandibular reconstruction using a fibula free flap: complication cases. Maxillofacial Plastic and Reconstructive Surgery, 41(1), 1-10.

Kawasaki, G., Imayama, N., Yoshitomi, I., Furukawa, K., & Umeda, M. (2019). Clinical study of reconstruction plates used in the surgery for mandibular discontinuity defect. in vivo, 33(1), 191-194.

Kim, M. G., Lee, S. T., Park, J. Y., & Choi, S. W. (2015). Reconstruction with fibular osteocutaneous free flap in patients with mandibular osteoradionecrosis. Maxillofacial Plastic and Reconstructive Surgery, 37(1), 1-7.

Kim, S. R., Jang, S., Ahn, K. M., & Lee, J. H. (2020). Evaluation of effective condyle positioning assisted by 3D surgical guide in mandibular reconstruction using osteocutaneous free flap. Materials, 13(10), 2333.

Kumar, B. P., Venkatesh, V., Kumar, K. A., Yadav, B. Y.,& Mohan, S. R. (2016). Mandibular reconstruction: overview. Journal of maxillofacial and oral surgery, 15(4), 425-441.

Maizlin ZV, Nutiu N, Dent PB, Vos PM, Fenton DM, Kirby JM, Vora P, Gillies JH, Clement JJ. Displacement of the temporomandibular joint disk: correlation between clinical findings and MRI characteristics. Journal-Canadian Dental Association. 2010 Jan 1; 76 (4):233.

Parise, G. K., Guebur, M. I., Ramos, G. H. A., Groth, A. K., da Silva, A. B. D., & Sassi, L. M. (2018). Evaluation of complications and flap losses in mandibular reconstruction with microvascularized fibula flap. Oral and Maxillofacial Surgery, 22(3), 281-284.

Pellini, R., Mercante, G., & Spriano, G. (2012). Step-by-step mandibular reconstruction with free fibula flap modelling. Acta Otorhinolaryngologica Italica, 32(6), 405.

Rana, M., Warraich, R., Kokemüller, H., Lemound, J., Essig, H., Tavassol, F., ... & Gellrich, N. C. (2011). Reconstruction of mandibular defects-clinical retrospective research over a 10-year period. Head & neck oncology, 3(1), 1-7.

Ritschl, L. M., Mücke, T., Fichter, A., Güll, F. D., Schmid, C., Duc, J. M. P., ... & Loeffelbein, D. J. (2017). Functional outcome of CAD/CAM-assisted versus conventional microvascular, fibular free flap reconstruction of the mandible: a retrospective study of 30 cases. Journal of reconstructive microsurgery, 33(04), 281-291.

Salgueiro, M. I., & Stevens, M. R. (2010). Experience with the use of prebent plates for the reconstruction of mandibular defects. Craniomaxillofacial trauma & reconstruction, 3(4), 201-208.

Sawh-Martinez, R., Parsaei, Y., Wu, R., Lin, A., Metzler, P., DeSesa, C., & Steinbacher, D. M. (2017). Improved temporomandibular joint position after 3-dimensional planned mandibular reconstruction. Journal of Oral and Maxillofacial Surgery, 75(1), 197-206.

Seol, G. J., Jeon, E. G., Lee, J. S., Choi, S. Y., Kim, J. W., Kwon, T. G., & Paeng, J. Y. (2014). Reconstruction plates used in the surgery for mandibular discontinuity defect. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 40(6), 266.

Shiozaki, M., Terao, Y., & Taniguchi, K. (2019). Evaluation of temporomandibular joint movement after mandibular reconstruction. Journal of Craniofacial Surgery, 30(1), 154-157.

Sjöström, M., Danielsson, D., Munck-Wikland, E., Nyberg, J., Sandström, K., Thor, A., ... & Laurell, G. (2022). Mandibular resection in patients with head and neck cancer: acute and long-term complications after reconstruction. Acta Oto-Laryngologica, 142(1), 78-83

Steffen, C., Sellenschloh, K., Vollmer, M., Morlock, M. M., Heiland, M., Huber, G., & Rendenbach, C. (2020). Biomechanical comparison of titanium miniplates versus a variety of CAD/CAM plates in mandibular reconstruction. Journal of the mechanical behavior of biomedical materials, 111, 104007.

Tran, K. L., Mong, M. L., Durham, J. S., & Prisman, E. (2022). Benefits of Patient-Specific Reconstruction Plates in Mandibular Reconstruction Surgical Simulation and Resident Education. Journal of Clinical Medicine, 11(18), 5306.

Yemineni, B., Maiti, S., Datta, A., Ali, S., Thakur, V., & Jain, R. (2020). Various Modalities of Mandibular Defects Reconstruction: Overview. Saudi J. Med, 5, 132-137.

Yıldız, T., & Selimen, D. (2015). The impact of facial aesthetic and reconstructive surgeries on patients’ quality of life. Indian Journal of Surgery, 77(3), 831-836.

Zheng, L., Wu, W., Shi, Y., & Zhang, J. (2019). Mandibular reconstruction with a deep circumflex iliac artery flap using computer-assisted and intraoral anastomosis techniques. Journal of Oral and Maxillofacial Surgery, 77(12), 2567-2572.

Published

31-08-2021

How to Cite

Omar, M. R., Mohamed, F. I., Sadek, H. G., Abdelsalam, R. A., Ahmed, E. S., & Mohamed, E. S. (2021). Magnetic resonance imaging and clinical evaluation of the temporo-mandibular joint after mandibular reconstruction. International Journal of Health Sciences, 5(S2), 604–616. https://doi.org/10.53730/ijhs.v5nS2.13696

Issue

Section

Peer Review Articles

Most read articles by the same author(s)