Abstract

Reconstructive surgery of the temporomandibular joint The diseases of the TemporoMandibular Joint (TMJ) are complex and involve different medical and dental specialties that manage patients with trauma, tumors, deformities and other conditions. The indications for surgery are the reduction and osteosynthesis of displaced condylar fractures, joint reconstruction in acquired and congenital deformities and reparative surgery of the TMJ after tumor resection. In ankylosis, resection and reconstruction using condro costal grafts or transport osteogenic distraction techniques are recommended. In progressive condylar resorption, bimaxillary advancement is preferred. In condylar hyperplasia, upper condylectomy with or without orthognatic surgery. In tumors, immediate reconstruction with free fibula flap. In fractures, reduction and osteosynthesis with plates and screws. The best results are obtained when medical and dental interdisciplinary teams are integrated for the diagnosis and long term follow up.