Immediate function of temporomandibular joint after total resection and reconstruction

J Craniofac Surg. 1997 Sep;8(5):383-90. doi: 10.1097/00001665-199708050-00010.


Two patients with recurrent parotid gland carcinoma required subtotal petrosectomy and infratemporal fossa type C approach. To achieve en bloc resection, the ascending mandibular ramus and the entire temporomandibular joint, including the adjacent temporal bone, were removed. An original technique for immediate reconstruction of the infratemporal region, including the glenoid fossa and the ramus of the mandible, is described. Rigid fixation, as well as good functional and aesthetic results, was achieved with autologous calvarial bone and full-thickness rib grafts, allowing the patients to mobilize their jaw very rapidly.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adenocarcinoma / physiopathology
  • Adenocarcinoma / surgery
  • Bone Transplantation / methods
  • Female
  • Humans
  • Middle Aged
  • Neoplasm Recurrence, Local / physiopathology
  • Neoplasm Recurrence, Local / surgery
  • Parotid Gland / surgery
  • Parotid Neoplasms / physiopathology
  • Parotid Neoplasms / surgery
  • Plastic Surgery Procedures / methods*
  • Ribs / transplantation
  • Skull / surgery
  • Surgical Flaps
  • Temporomandibular Joint / physiopathology*
  • Temporomandibular Joint / surgery*