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A Simple Technique for Use of Buccal Pad of Fat in Temporomandibular Joint Reconstruction

2006; Elsevier BV; Volume: 64; Issue: 9 Linguagem: Inglês

10.1016/j.joms.2005.07.017

1531-5053

Vidya Rattan,

Total Knee Arthroplasty Outcomes

Heterotopic bone formation and fibrosis around the joint after any temporomandibular joint (TMJ) reconstructive surgery is a major problem. These complications are quite unpredictable and are of special concern in TMJ ankylosis surgery, and in multiple operated TMJs due to failed alloplastic and autogenous tissue joint reconstruction. Vigorous jaw physiotherapy, various autologous and alloplastic materials, radiotherapy, 1 Durr E.D. Turlington E.G. Foote R.L. Radiation treatment of hetertopic bone formation in the temporomandibular joint articulation. Int J Radiat Oncol Biol Phys. 1993; 27: 863 Abstract Full Text PDF PubMed Scopus (36) Google Scholar and some pharmacological agents have been used in the past to minimize these complications, with varying degrees of success. Autologous transplantation of fat has been used as a method of prevention of heterotopic bone formation after hip replacement surgery. 2 Thomas B.J. Heterotopic bone formation after total hip arthroplasty. Orthop Clin North Am. 1992; 23: 347 PubMed Google Scholar Wolford and Karras 3 Wolford L.M. Karras S.C. Autologous fat transplantation around temporomandibular joint total joint prosthesis Preliminary outcomes. J Oral Maxillofac Surg. 1997; 55: 245 Abstract Full Text PDF PubMed Scopus (105) Google Scholar suggested autologous transplantation of abdominal fat around the TMJ and showed that fat can minimize occurrence of fibrosis and heterotopic bone formation, consequently providing improved range of motion. Dimitroulis 4 Dimitroulis G. The interpostional dermis fat graft in the management of temporomandibular joint ankylosis. Int J Oral Maxillofac Surg. 2004; 33: 755 Abstract Full Text Full Text PDF PubMed Scopus (81) Google Scholar interposed dermis fat graft, taken from the groin, in the TMJ. The harvesting of fat graft from other sites is associated with potential morbidity and complications of the second surgical site. The ultimate fate of transplanted free fat graft is unknown due to variable amounts of resorption associated with transplanted fat.