SpringerLink
Log in

Evaluation of Prosthetic TMJ Positioning Using Intraoperative C-Arm in Unilateral TMJ Replacement Surgery: A Technical Note

  • TECHNICAL NOTE
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Background

Temporomandibular joint reconstruction (TMJR) with standard alloplastic prosthesis is a reliable treatment for TMJ ankylosis, especially for recurrent cases.

Purpose

Long-standing TMJ ankylosis causes morphological changes in the mandible, resulting in ill adaptation of stock TMJ prosthesis over the ramus of the mandible with mediolateral and anteroposterior discrepancy. It makes it cumbersome for the surgeon to adapt the stock prosthesis to an ideal position during the procedure. In unilateral TMJ replacement surgery, the mediolateral inclination of the mandibular component cannot be appreciated under direct vision.

Technique

An intraoperative C-arm was used to visualize, compare and confirm the accurate mediolateral and anteroposterior position of stock TMJ prosthesis in unilateral total TMJ replacement, thereby placing the condylar unit in a near-ideal position. Various positions of C-arm were discussed.

Conclusion

The practice of intraoperative C-arm usage has helped the operating surgeon's ambiguity concerning the near-accurate three-dimensional position of the new condyle within the fossa.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Gonzalez-Perez LM, Gonzalez-Perez-Somarriba B, Centeno G, Vallellano C, Montes-Carmona JF, Torres-Carranza E, Ambrosiani-Fernandez J, Infante-Cossio P (2020) Prospective study of five-year outcomes and postoperative complications after total temporomandibular joint replacement with two stock prosthetic systems. Br J Oral Maxillofac Surg 58(1):69–74

    Article  CAS  PubMed  Google Scholar 

  2. Mani B, Balasubramaniam S, Balasubramanian S, Jayaraman B, Thirunavukkarasu R (2020) Role of custom-made prosthesis for temporomandibular joint replacement in unilateral ankylosis-an evaluative study. Ann Maxillofac Surg 10(2):344–352

    Article  PubMed  PubMed Central  Google Scholar 

  3. Alagarsamy R, Roychoudhury A, Bhutia O, Lal B, Yadav R, Bhalla AS (2021) Evaluation of fit feasibility of stock total joint replacement in temporomandibular joint ankylosis patients. Br J Oral Maxillofac Surg 59(7):792–797

    Article  PubMed  Google Scholar 

  4. Heiland M, Schulze D, Blake F, Schmelzle R (2005) Intraoperative imaging of zygomaticomaxillary complex fractures using a 3D C-arm system. Int J Oral Maxillofac Surg 34(4):369–375

    Article  CAS  PubMed  Google Scholar 

  5. Kumar LK, Tharakan M, Peranthodi J, Divakaran D (2017) Application of C-arm for intra operative radiographic support in oral and maxillofacial surgical procedures under general anaesthesia. J Clin Diagn Res 11:ZL1–ZL2

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Trauma and Emergency (Oral and Maxillofacial Surgery), All India Institute of Medical Sciences (AIIMS), Bhubaneswar, India

    Kiran Kumar Boyina

  2. Department of Dentistry (Oral and Maxillofacial Surgery), All India Institute of Medical Sciences (AIIMS), Bhubaneswar, India

    Saubhik Dasukil

  3. Department of Dentistry, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, India

    Iswariya Ariyan

Authors
  1. Kiran Kumar Boyina
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Saubhik Dasukil
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Iswariya Ariyan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Saubhik Dasukil.

Ethics declarations

Conflict of interest

All authors have declared no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Boyina, K.K., Dasukil, S. & Ariyan, I. Evaluation of Prosthetic TMJ Positioning Using Intraoperative C-Arm in Unilateral TMJ Replacement Surgery: A Technical Note. J. Maxillofac. Oral Surg. (2024). https://doi.org/10.1007/s12663-024-02231-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12663-024-02231-3

Keywords

Search

Navigation