Pedicled tragal chondral flap for irreparable temporomandibular joint disc

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dc.contributor.authorFernández Olarte, Humberto
dc.contributor.authorGómez Delgado, Andrés
dc.contributor.authorVarón Cardona, Daniel
dc.contributor.authorVidal Villamarín, James
dc.date.accessioned2020-05-14T17:18:43Z
dc.date.available2020-05-14T17:18:43Z
dc.date.issued2019
dc.description.abstractenglishDespite the plentiful number of publications regarding temporomandibular joint (TMJ) disorders, their etiology is still unclear. Disc perforation is one of the most frequent findings associated with the late stages of TMJ disorders. It may be caused by an abnormal relationship of the intra-articular disc to the condyle and temporal bone that produces dynamic and physiological alterations.1 When the damage is extensive, techniques such as discoplasty,2 discoplasty with replacement,3 discectomy,4,5 and discectomy with replacement6,7 have been proposed as treatment options. It has been widely described in the literature that the use of alloplastic materials for discal replacement causes a foreign-body giant cell reaction, lymphadenopathy, and severe osteoarthritis, among other complications.8 In some cases, minimally invasive surgery for disc repair or removal using arthroscopy can be performed, but this is technically difficult and sometimes not indicated for extensive procedures. We propose an open method that minimizes the surgical approach and uses local tissues for the reconstruction. This novel technique uses a pedicled tragal chondral flap for closure of disc perforations— or total replacement of the disc in irreparable cases—without causing esthetic or functional consequences for the donor siteeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.joms.2019.01.034
dc.identifier.issn0278-2391
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2771
dc.language.isoeng
dc.publisherElsevierspa
dc.publisher.journalJournal of oral and maxillofacial surgeryspa
dc.relation.ispartofseriesJournal of oral and maxillofacial surgery, 0278-2391, Vol 77, Num 6, 2019, pag 1143–1146spa
dc.relation.urihttps://www.joms.org/article/S0278-2391(19)30109-0/fulltext
dc.rights.creativecommons2019
dc.rights.localAcceso cerradospa
dc.subject.decsColgajospa
dc.subject.decsArticulacionesspa
dc.subject.decsMandíbulaspa
dc.titlePedicled tragal chondral flap for irreparable temporomandibular joint discspa
dc.title.translatedPedicled tragal chondral flap for irreparable temporomandibular joint discspa
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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