Complications Following Temporomandibular Joint Replacement: A 10-Year Retrospective Review

McKenzie, W.S.; Louis, Patrick J.

doi:10.1016/j.joms.2015.06.034

Cited by 5 publications

(1 citation statement)

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“…Damage to isolated branches of the facial nerve such as the marginal mandibular branch can occur during the submandibular or retromandibular approach [4]. Sidebottom and Gruber reported 7% of patients having immediate but temporary marginal mandibular palsy in TJR surgery [2], whilst McKenzie and Louis found that 44% of patients had dysfunction of the temporal or marginal mandibular branches [5]. Avoiding a submandibular incision decreases the risk of transection of the marginal mandibular branch when dissecting through to the mandible, and decreases the amount of stretching of the nerve that is required to retract the nerve superiorly.…”

Section: Discussionmentioning

confidence: 99%

Total temporomandibular joint replacement without a submandibular incision

Kim

Somers

2020

J Oral Med Oral Surg

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Temporomandibular joint replacement is a well-accepted and successful treatment option for advanced pathology of the temporomandibular joint. There are however a number of complications associated with the procedure such as post-operative infection, facial nerve damage and scarring. Total joint replacement has traditionally involved the use of both a pre-auricular and submandibular incision. We present an approach that uses only a pre-auricular incision without the need for a submandibular incision. This approach is less invasive and has the potential to decrease risk of damage to the marginal mandibular branch of facial nerve and scarring of the neck.

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Section: Discussionmentioning

confidence: 99%