Abstract

MONJE GIL, F.. Mandibular distraction and the temporomandibular joint. Rev Esp Cirug Oral y Maxilofac [online]. 2004, vol.26, n.4, pp.221-227. ISSN 2173-9161.

Abstract: Patients with severe craniofacial abnormalities often require multiple and complex surgical procedures to reconstruct maldeveloped hard and soft tissues of the maxillofacial complex. An important advance in reconstructive surgery is mandibular lengthening by gradual distraction, which takes advantage to be less agressive surgery than some osteotomies. With this technique, a bicortical osteotomy is made at the angle of the deficient mandible, and an expansion appliance is placed across the osteotomy line. Although the applied forces have been shown to lengthen the mandible effectively in the region of the application, their effects on the proximal and distal mandibular segments, including the temporomandibular joint region, have not been analyzed systematically. In this article, we study several experimental and clinical papers where it describes the relationship between mandibular distraction and temporomandibular joint.

Keywords : Temporomandibular joint; Mandibular distraction; Mandibular reconstruction.

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