Is autogenous abdominal fat transplantation into a large temporomandibular joint defect following removal of failed alloplastic prosthesis a definitive treatment?

Umut Tekin, Eugene E. Keller, David R. Delone

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Purpose To evaluate the long-term clinical outcome after the removal of failed major alloplastic temporomandibular joint (TMJ) implants and the placement of an autologous abdominal fat graft. Materials and Methods A long-term clinical follow-up was performed in 4 patients who underwent removal of a failed alloplastic implant and insertion of an autologous abdominal fat graft under 1-stage surgical management. Postsurgical use of pain medication was documented and the vertical interincisal opening measurement was obtained at the follow-up visit. Long-term computed tomographic (CT) scans were available for 3 of 4 patients and evaluated for fat graft retention by a radiologist. Hounsfield units were used. Results The study showed long-term (average, 4.7 years) clinical success, including normal jaw function (≥30-mm vertical opening) and freedom from the use of pain-relieving medication. Long-term CT scans (average, 5 years after surgery) documented fat graft retention in 3 patients (-80 HU). Conclusion Autogenous fat graft placement alone, after major TMJ alloplastic removal, provides excellent long-term clinical success.

Original languageEnglish (US)
Pages (from-to)868-885
Number of pages18
JournalJournal of Oral and Maxillofacial Surgery
Volume72
Issue number5
DOIs
StatePublished - May 2014

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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