Long-term radiological findings following reconstruction of the condyle with fibular free flaps

Oral Rehabilitation Outcomes After Free Fibula Reconstruction of the Mandible Without Condylar Restoration

“…9 More recently, authors have advocated using the posterior part of the vascularized fibula flap, contouring it to fit the glenoid fossa, and using this as a neocondyle. [10][11][12][13][14] These methods have largely involved actively seating the neocondyle in the glenoid fossa by either direct suture fixation to the articular disk or attachment of the masseter muscle to the reconstruction plate of the fibula. Although seemingly providing physiologic stabilization of the TMJ, this technique is limited by technical difficulty in contouring the bone to mimic the native condyle 15 and potential for ankylosis and functional limitation of the joint.…”

The use of TMJ Concepts prostheses to reconstruct patients with major temporomandibular joint and mandibular defects

“…Faced with this situation, the surgeon has to choose between autogenous, or alloplastic (prosthetic) reconstruction, or a combination of these techniques. Autogenous options include free costochondral grafts 3,10 , and vascularized bone grafts 2,14 . Prosthetic TMJ reconstruction in cases with major mandibular defects or other abnormal anatomy usually require custom-made devices.…”

Condylar disarticulation; Analysis of 20 cases from a Nigerian Tertiary Centre

“…Four methods have been described for immediate reconstruction: condylar prostheses;[7–9] native condyle;[10–12] costochondral grafts;[13] vascular free flaps (fibula and second metatarsal);[14–16] and fibular free flap with long term follow up of radiological findings. [17] Although titanium prostheses have their advocates, the fibula flap has been widely popularized. [18]…”