Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery

Autores
Gomez, Natalia Lucia; Boccalatte, Luis Alejandro; Lopez Ruiz, Águeda; Nassif, María Gabriela; Figari, Marcelo Fernando; Ritacco, Lucas
Año de publicación
2020
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Disorders of the temporomandibular joint (TMJ) are frequent and are usually associated with other disorders of the facial skeleton. Surgery might be needed to correct TMJ anatomy and function and, in cases where pathologies coexist, a two-stage corrective surgery might be needed. However, the current fashion of single-stage procedures is feasible with the aid of new technologies such as computer-assisted surgery (CAS). This is a step forward toward performing complex procedures such as a TMJ replacement with simultaneous orthognathic surgery. CAS allows designing patient-fitted prosthesis and more predictable and accurate surgeries. Moreover, intraoperative development can be controlled in real time with intraoperative navigation, and postoperative results can be measured and compared afterwards. Aims: The primary purpose of this article is to present the protocol used in our institution for orthognathic surgery associated with unilateral and bilateral TMJ replacement with patient-fitted prostheses guided with CAS. Materials and methods: We present two cases to illustrate our protocol and its results. Results: In the first case, the difference in millimeters between planning and surgical outcomes was 1.72 mm for the glenoid component and 2.16 mm for the condylar prosthesis; for the second case, differences in the right side were 2.59 mm for the glenoid component and 2.06 mm for the ramus, and in the left side, due to the anatomy the difference was a little greater, without clinical significance Conclusion: Combined surgery of the midface and mandible with total TMJ replacement is feasible and beneficial for the patient. CAS facilitates the planning and design of custom-fit prosthesis and execution of these procedures.
Fil: Gomez, Natalia Lucia. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Boccalatte, Luis Alejandro. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Lopez Ruiz, Águeda. No especifíca;
Fil: Nassif, María Gabriela. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Figari, Marcelo Fernando. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Ritacco, Lucas. Consejo Nacional de Investigaciones Cientificas y Tecnicas. Oficina de Coordinacion Administrativa Houssay. Instituto de Medicina Traslacional E Ingenieria Biomedica. - Hospital Italiano. Instituto de Medicina Traslacional E Ingenieria Biomedica. - Instituto Universitario Hospital Italiano de Buenos Aires. Instituto de Medicina Traslacional E Ingenieria Biomedica.; Argentina
Materia
COMPUTER-ASSISTED SURGERY
INTRAOPERATIVE NAVIGATION
ORTHOGNATHIC SURGERY
TEMPOROMANDIBULAR JOINT
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/125110
Acceder
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network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted SurgeryGomez, Natalia LuciaBoccalatte, Luis AlejandroLopez Ruiz, ÁguedaNassif, María GabrielaFigari, Marcelo FernandoRitacco, LucasCOMPUTER-ASSISTED SURGERYINTRAOPERATIVE NAVIGATIONORTHOGNATHIC SURGERYTEMPOROMANDIBULAR JOINThttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Disorders of the temporomandibular joint (TMJ) are frequent and are usually associated with other disorders of the facial skeleton. Surgery might be needed to correct TMJ anatomy and function and, in cases where pathologies coexist, a two-stage corrective surgery might be needed. However, the current fashion of single-stage procedures is feasible with the aid of new technologies such as computer-assisted surgery (CAS). This is a step forward toward performing complex procedures such as a TMJ replacement with simultaneous orthognathic surgery. CAS allows designing patient-fitted prosthesis and more predictable and accurate surgeries. Moreover, intraoperative development can be controlled in real time with intraoperative navigation, and postoperative results can be measured and compared afterwards. Aims: The primary purpose of this article is to present the protocol used in our institution for orthognathic surgery associated with unilateral and bilateral TMJ replacement with patient-fitted prostheses guided with CAS. Materials and methods: We present two cases to illustrate our protocol and its results. Results: In the first case, the difference in millimeters between planning and surgical outcomes was 1.72 mm for the glenoid component and 2.16 mm for the condylar prosthesis; for the second case, differences in the right side were 2.59 mm for the glenoid component and 2.06 mm for the ramus, and in the left side, due to the anatomy the difference was a little greater, without clinical significance Conclusion: Combined surgery of the midface and mandible with total TMJ replacement is feasible and beneficial for the patient. CAS facilitates the planning and design of custom-fit prosthesis and execution of these procedures.Fil: Gomez, Natalia Lucia. Instituto Universidad Escuela de Medicina del Hospital Italiano; ArgentinaFil: Boccalatte, Luis Alejandro. Instituto Universidad Escuela de Medicina del Hospital Italiano; ArgentinaFil: Lopez Ruiz, Águeda. No especifíca;Fil: Nassif, María Gabriela. Instituto Universidad Escuela de Medicina del Hospital Italiano; ArgentinaFil: Figari, Marcelo Fernando. Instituto Universidad Escuela de Medicina del Hospital Italiano; ArgentinaFil: Ritacco, Lucas. Consejo Nacional de Investigaciones Cientificas y Tecnicas. Oficina de Coordinacion Administrativa Houssay. Instituto de Medicina Traslacional E Ingenieria Biomedica. - Hospital Italiano. Instituto de Medicina Traslacional E Ingenieria Biomedica. - Instituto Universitario Hospital Italiano de Buenos Aires. Instituto de Medicina Traslacional E Ingenieria Biomedica.; ArgentinaSpringer2020-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/125110Gomez, Natalia Lucia; Boccalatte, Luis Alejandro; Lopez Ruiz, Águeda; Nassif, María Gabriela; Figari, Marcelo Fernando; et al.; Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery; Springer; Journal of Maxillofacial and Oral Surgery; 7-2020; 1-120974-942X0974-942XCONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1007/s12663-020-01422-yinfo:eu-repo/semantics/altIdentifier/url/https://link.springer.com/article/10.1007/s12663-020-01422-yinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-15T15:17:04Zoai:ri.conicet.gov.ar:11336/125110instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-15 15:17:04.846CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery
title Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery
spellingShingle Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery
Gomez, Natalia Lucia
COMPUTER-ASSISTED SURGERY
INTRAOPERATIVE NAVIGATION
ORTHOGNATHIC SURGERY
TEMPOROMANDIBULAR JOINT
title_short Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery
title_full Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery
title_fullStr Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery
title_full_unstemmed Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery
title_sort Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery
dc.creator.none.fl_str_mv Gomez, Natalia Lucia
Boccalatte, Luis Alejandro
Lopez Ruiz, Águeda
Nassif, María Gabriela
Figari, Marcelo Fernando
Ritacco, Lucas
author Gomez, Natalia Lucia
author_facet Gomez, Natalia Lucia
Boccalatte, Luis Alejandro
Lopez Ruiz, Águeda
Nassif, María Gabriela
Figari, Marcelo Fernando
Ritacco, Lucas
author_role author
author2 Boccalatte, Luis Alejandro
Lopez Ruiz, Águeda
Nassif, María Gabriela
Figari, Marcelo Fernando
Ritacco, Lucas
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv COMPUTER-ASSISTED SURGERY
INTRAOPERATIVE NAVIGATION
ORTHOGNATHIC SURGERY
TEMPOROMANDIBULAR JOINT
topic COMPUTER-ASSISTED SURGERY
INTRAOPERATIVE NAVIGATION
ORTHOGNATHIC SURGERY
TEMPOROMANDIBULAR JOINT
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Disorders of the temporomandibular joint (TMJ) are frequent and are usually associated with other disorders of the facial skeleton. Surgery might be needed to correct TMJ anatomy and function and, in cases where pathologies coexist, a two-stage corrective surgery might be needed. However, the current fashion of single-stage procedures is feasible with the aid of new technologies such as computer-assisted surgery (CAS). This is a step forward toward performing complex procedures such as a TMJ replacement with simultaneous orthognathic surgery. CAS allows designing patient-fitted prosthesis and more predictable and accurate surgeries. Moreover, intraoperative development can be controlled in real time with intraoperative navigation, and postoperative results can be measured and compared afterwards. Aims: The primary purpose of this article is to present the protocol used in our institution for orthognathic surgery associated with unilateral and bilateral TMJ replacement with patient-fitted prostheses guided with CAS. Materials and methods: We present two cases to illustrate our protocol and its results. Results: In the first case, the difference in millimeters between planning and surgical outcomes was 1.72 mm for the glenoid component and 2.16 mm for the condylar prosthesis; for the second case, differences in the right side were 2.59 mm for the glenoid component and 2.06 mm for the ramus, and in the left side, due to the anatomy the difference was a little greater, without clinical significance Conclusion: Combined surgery of the midface and mandible with total TMJ replacement is feasible and beneficial for the patient. CAS facilitates the planning and design of custom-fit prosthesis and execution of these procedures.
Fil: Gomez, Natalia Lucia. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Boccalatte, Luis Alejandro. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Lopez Ruiz, Águeda. No especifíca;
Fil: Nassif, María Gabriela. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Figari, Marcelo Fernando. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
Fil: Ritacco, Lucas. Consejo Nacional de Investigaciones Cientificas y Tecnicas. Oficina de Coordinacion Administrativa Houssay. Instituto de Medicina Traslacional E Ingenieria Biomedica. - Hospital Italiano. Instituto de Medicina Traslacional E Ingenieria Biomedica. - Instituto Universitario Hospital Italiano de Buenos Aires. Instituto de Medicina Traslacional E Ingenieria Biomedica.; Argentina
description Background: Disorders of the temporomandibular joint (TMJ) are frequent and are usually associated with other disorders of the facial skeleton. Surgery might be needed to correct TMJ anatomy and function and, in cases where pathologies coexist, a two-stage corrective surgery might be needed. However, the current fashion of single-stage procedures is feasible with the aid of new technologies such as computer-assisted surgery (CAS). This is a step forward toward performing complex procedures such as a TMJ replacement with simultaneous orthognathic surgery. CAS allows designing patient-fitted prosthesis and more predictable and accurate surgeries. Moreover, intraoperative development can be controlled in real time with intraoperative navigation, and postoperative results can be measured and compared afterwards. Aims: The primary purpose of this article is to present the protocol used in our institution for orthognathic surgery associated with unilateral and bilateral TMJ replacement with patient-fitted prostheses guided with CAS. Materials and methods: We present two cases to illustrate our protocol and its results. Results: In the first case, the difference in millimeters between planning and surgical outcomes was 1.72 mm for the glenoid component and 2.16 mm for the condylar prosthesis; for the second case, differences in the right side were 2.59 mm for the glenoid component and 2.06 mm for the ramus, and in the left side, due to the anatomy the difference was a little greater, without clinical significance Conclusion: Combined surgery of the midface and mandible with total TMJ replacement is feasible and beneficial for the patient. CAS facilitates the planning and design of custom-fit prosthesis and execution of these procedures.
publishDate 2020
dc.date.none.fl_str_mv 2020-07
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/125110
Gomez, Natalia Lucia; Boccalatte, Luis Alejandro; Lopez Ruiz, Águeda; Nassif, María Gabriela; Figari, Marcelo Fernando; et al.; Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery; Springer; Journal of Maxillofacial and Oral Surgery; 7-2020; 1-12
0974-942X
0974-942X
CONICET Digital
CONICET
url http://hdl.handle.net/11336/125110
identifier_str_mv Gomez, Natalia Lucia; Boccalatte, Luis Alejandro; Lopez Ruiz, Águeda; Nassif, María Gabriela; Figari, Marcelo Fernando; et al.; Total Temporomandibular Joint Replacement and Simultaneous Orthognathic Surgery Using Computer-Assisted Surgery; Springer; Journal of Maxillofacial and Oral Surgery; 7-2020; 1-12
0974-942X
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1007/s12663-020-01422-y
info:eu-repo/semantics/altIdentifier/url/https://link.springer.com/article/10.1007/s12663-020-01422-y
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.22299

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