Anterior pedicle temporalis muscle flap interposition in the treatment of TMJ disorders

Moreau, A; Benassarou, Mourad; Benslama, L.; Goudot, P.; Schoumann, T

doi:10.1016/j.jormas.2018.03.003

Cited by 6 publications

(5 citation statements)

References 23 publications

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“…Many clinicians have advocated the placement of an interpositional material in the joint after diskectomy to avoid crepitus, degenerative changes, pain, ankylosis, occlusional alterations, and limited movement [ 5 , 13 , 14 ]. As a result, the application of TMF in joint surgery was reported by the literature, including TMJ ankylosis, tumour resection, traumatic defect, congenital malformation, joint degeneration, previous failed interpositional TMJ graft procedures, etc , as an implant or disk replacement material [ 19 , 24 – 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…The purpose of this study was to investigate the efficacy of the TMF as an interpositional component transplanted for the reconstruction of TMJ disk. Many previous investigators have examined the use of TMF in TMJs that had assorted forms of existing pathological conditions such as congenital anomalies, autoimmune arthritides, degenerative joint disease, traumatic defects, lateral capsule flaccidity, ankyloses, as well as in those with prior alloplastic implants and autogenous grafts [ 14 ]. In this investigation, the TMFs were studied exclusively in patients whose joints had formerly been treated with conservative therapy and without any surgeries.…”

Section: Introductionmentioning

confidence: 99%

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Modified minimally invasive surgery in reconstructing the temporomandibular joint disk by transplantation of the temporalis myofascial flap

Peng

Gong

et al. 2023

BMC Musculoskelet Disord

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Objective The transplantation of temporalis myofascial flap (TMF) is an indispensable method to treat severe temporomandibular joint disorders with disk failure. How to select the indication and the ways of transplantation is still a challenging topic for achieving the ideal effect. We reported the new methods and follow-up results of the patients treated with pedicled TMF transplantation. Methods Retrospective case series was performed at Temporomandibular Joint Specialist Clinic, the First Affiliated Hospital of Xinjiang Medical University, from December 2014 to August 2022. 39 patients (50 sides) included anterior disk displacement without reduction and disk perforation who underwent discectomy and immediate reconstruction with pedicled TMF. The initial and postoperative maximum mouth opening (MMO), and pain visual analogue scale (VAS) were compared via paired t-test and Wilcoxon signed-rank sum test, respectively. Results The average of follow-up time was 30.07 months. The reconstructed temporomandibular joints basically achieved stable occlusion, good function, and satisfactory effect. The patients displayed a remarkable reduction of VAS score of pain, and improvement of the MMO compared with that before operation (P < 0.001). MR scanning revealed the grafts in joint space showed band-shaped soft tissue density of medium signal and had the clear edges, without interruption and fragment. Conclusion Reconstruction of the temporomandibular joint disk by transplantation of the TMF applying modified minimally invasive surgery was a feasible method, which could improve the function of joints and prevent adhesion, without obvious complications in donor region.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Modified minimally invasive surgery in reconstructing the temporomandibular joint disk by transplantation of the temporalis myofascial flap

Peng

Gong

et al. 2023

BMC Musculoskelet Disord

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“…Additionally, both Brennan et al and Ahmed et al commented that the post-operative function of speech and swallowing was good and unaffected [ 8 , 9 ]. Moreover, when investigating the use of TM flaps for TMJ disorders, studies have found improvement in pain, increased mouth opening of 11.1 mm and lateral excursion for up to 3 months, without any major complications [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Unforeseen Outcomes Post Treatment for Radiation Induced Trismus: A Case Report

2022

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Post radiotherapy radiation trismus presents significant concerns for a patient’s quality of life and for the clinical monitoring for recurrence of head and neck oncology. Current treatments include scar band release surgery that has been shown to be safe and effective. We present a case with a rare, post-operative complication of difficulty of mouth closure that can pose a significant impact on quality of life that should be considered.

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“…Clinically, it is commonly used to repair soft tissue defects in the orbital region, skull base, and temporomandibular joint [11][12][13]. The temporal muscle is adjacent to the auricle and has su cient tissue to apply; thus, it can be used as an ideal method to repair the exposure of auricle framework [14].…”

Section: Discussionmentioning

confidence: 99%

Repair of exposure and fracture of the porous high-density polyethylene framework after ear reconstruction

Jiang

Chen

et al. 2022

Preprint

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Objective: To assess the repair method of exposure or fracture of the porous high-density polyethylene ear framework after total auricle reconstruction. Methods: From April 2018 to October 2021, 11 patients with framework exposure or fracture after total auricle reconstruction were admitted to the hospital for repair. In these 11 patients, the repair was performed using (1) a temporal muscle flap combined with free skin graft in 5 patients, (2) a mastoid fascia flap combined with free skin graft in 2 patients, (3) a simple local skin flap in 1 patient, (4) combination of a temporalis muscle flap and a mastoid fascia flap together with free skin graft in 2 patients, and (5) a Supor helix material combined with a temporal muscle flap and free skin graft in 1 patient. Results: After follow-up for 3–36 months, except for one patient in whom local exposure again occurred at the same site, the framework was in a good shape in the other patients, and all the skin graft survived. Conclusions: The defect of the upper part of the auricle can be repaired using a temporal muscle flap combined with temporal muscle fascia and skin graft. The defect of the middle and lower part of the auricle can be repaired using a mastoid fascia flap combined with skin graft. For framework fracture, the damaged site can be first strengthened with another ear material and then combined with the adjacent fascia flap and free skin graft.

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Anterior pedicle temporalis muscle flap interposition in the treatment of TMJ disorders

Cited by 6 publications

References 23 publications

Modified minimally invasive surgery in reconstructing the temporomandibular joint disk by transplantation of the temporalis myofascial flap

Modified minimally invasive surgery in reconstructing the temporomandibular joint disk by transplantation of the temporalis myofascial flap

Unforeseen Outcomes Post Treatment for Radiation Induced Trismus: A Case Report

Repair of exposure and fracture of the porous high-density polyethylene framework after ear reconstruction

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