Considerations for the use of alloplastic temporomandibular joint replacement in irradiated patients: report of an off-label indication

Detalhes bibliográficos
Autor(a) principal: Ângelo, David
Data de Publicação: 2023
Outros Autores: Maffia, Francesco, Teschke, Marcus, Sanz, David, Galrito, Marta, Cardoso, Henrique, Marques, Rute, Nabuco, Carlos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/59909
Resumo: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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spelling Considerations for the use of alloplastic temporomandibular joint replacement in irradiated patients: report of an off-label indicationTemporomandibular jointHead and neck neoplasmsTotal joint replacementAdjuvant radiotherapyFree tissue flaps© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).Abstract: Background: Custom-made alloplastic temporomandibular joint replacement (ATMJR) is not validated in irradiated patients. However, in specific situations, after previous reconstructive surgical failures, the authors hypothesized the role of a customized ATMJR after radiotherapy. Methods: A 65-year-old male patient was referred to Instituto Português da Face—Lisbon, Portugal— after failed attempts of mandibular reconstruction secondary to oral carcinoma resection and partial hemi-mandibulectomy plus radiotherapy of 60 total Grays. Primary reconstruction was performed with fibula free flap. Due to failure, secondary reconstructions were performed with osteosynthesis plate without success. The patient was unable to have adequate mastication and deglutition due to a severe crossbite. The authors treated the patient with an extended customized alloplastic temporomandibular joint replacement (F0M2). Results: With 3 years of follow-up, the patient showed an improvement in masticatory function, mandibular motion, pain levels, and overall quality of life. No complications were observed related to ATMJR. Conclusions: The presented case described how ATMJR, although not a validated option after radiotherapy, can be considered to restore functionality in complex cases with bone and soft tissues problems.MDPIRepositório da Universidade de LisboaÂngelo, DavidMaffia, FrancescoTeschke, MarcusSanz, DavidGalrito, MartaCardoso, HenriqueMarques, RuteNabuco, Carlos2023-10-20T13:14:47Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/59909eng10.3390/jcm122066122077-0383info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T17:09:29Zoai:repositorio.ul.pt:10451/59909Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:09:47.878613Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Considerations for the use of alloplastic temporomandibular joint replacement in irradiated patients: report of an off-label indication
title Considerations for the use of alloplastic temporomandibular joint replacement in irradiated patients: report of an off-label indication
spellingShingle Considerations for the use of alloplastic temporomandibular joint replacement in irradiated patients: report of an off-label indication
Ângelo, David
Temporomandibular joint
Head and neck neoplasms
Total joint replacement
Adjuvant radiotherapy
Free tissue flaps
title_short Considerations for the use of alloplastic temporomandibular joint replacement in irradiated patients: report of an off-label indication
title_full Considerations for the use of alloplastic temporomandibular joint replacement in irradiated patients: report of an off-label indication
title_fullStr Considerations for the use of alloplastic temporomandibular joint replacement in irradiated patients: report of an off-label indication
title_full_unstemmed Considerations for the use of alloplastic temporomandibular joint replacement in irradiated patients: report of an off-label indication
title_sort Considerations for the use of alloplastic temporomandibular joint replacement in irradiated patients: report of an off-label indication
author Ângelo, David
author_facet Ângelo, David
Maffia, Francesco
Teschke, Marcus
Sanz, David
Galrito, Marta
Cardoso, Henrique
Marques, Rute
Nabuco, Carlos
author_role author
author2 Maffia, Francesco
Teschke, Marcus
Sanz, David
Galrito, Marta
Cardoso, Henrique
Marques, Rute
Nabuco, Carlos
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Ângelo, David
Maffia, Francesco
Teschke, Marcus
Sanz, David
Galrito, Marta
Cardoso, Henrique
Marques, Rute
Nabuco, Carlos
dc.subject.por.fl_str_mv Temporomandibular joint
Head and neck neoplasms
Total joint replacement
Adjuvant radiotherapy
Free tissue flaps
topic Temporomandibular joint
Head and neck neoplasms
Total joint replacement
Adjuvant radiotherapy
Free tissue flaps
description © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
publishDate 2023
dc.date.none.fl_str_mv 2023-10-20T13:14:47Z
2023
2023-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/59909
url http://hdl.handle.net/10451/59909
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.3390/jcm12206612
2077-0383
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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