Management of the secondary growth defect

Temporomandibular reconstruction has clear aims including the restoration of mandibular form and function, to decrease patient disability and to prevent disease progression. In addition paediatric patients have growth and re-modelling considerations and the need to minimise any secondary growth defe...

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Main Authors: Nadeem R. Saeed, Barbara Gerber
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Journal of Oral Biology and Craniofacial Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2212426822000975
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author Nadeem R. Saeed
Barbara Gerber
author_facet Nadeem R. Saeed
Barbara Gerber
author_sort Nadeem R. Saeed
collection DOAJ
description Temporomandibular reconstruction has clear aims including the restoration of mandibular form and function, to decrease patient disability and to prevent disease progression. In addition paediatric patients have growth and re-modelling considerations and the need to minimise any secondary growth defect. The involvement of a multidisciplinary team is deemed essential for both the child and parents. In some patients crisis intervention may be required and early reconstruction might be necessary dependant on the severity of impairment. The aetiology of end stage TMJ disease, unilateral/bilateral disease and the degree of patient compromise will guide timing and choice of treatment. Reducing repeated surgery and facilitating patient compliance may potentiate mandibular growth.
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series Journal of Oral Biology and Craniofacial Research
spelling doaj-art-07472be2b3714509a10ce0bf7bfa779c2025-08-20T02:01:56ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682022-11-0112683383710.1016/j.jobcr.2022.08.006Management of the secondary growth defectNadeem R. Saeed0Barbara Gerber1Department of Oral and Maxillofacial Surgery, Great Ormond Street Hospital, London, WC1N 3JH, United Kingdom; Department of Oral and Maxillofacial Surgery, Oxford University Hospitals, Headley Way, Headington, Oxford, OX3 9DU, United Kingdom; Corresponding author. Department of Oral and Maxillofacial Surgery, Great Ormond Street Hospital, London, WC1N 3JH, United Kingdom.Department of Oral and Maxillofacial Surgery, Oxford University Hospitals, Headley Way, Headington, Oxford, OX3 9DU, United KingdomTemporomandibular reconstruction has clear aims including the restoration of mandibular form and function, to decrease patient disability and to prevent disease progression. In addition paediatric patients have growth and re-modelling considerations and the need to minimise any secondary growth defect. The involvement of a multidisciplinary team is deemed essential for both the child and parents. In some patients crisis intervention may be required and early reconstruction might be necessary dependant on the severity of impairment. The aetiology of end stage TMJ disease, unilateral/bilateral disease and the degree of patient compromise will guide timing and choice of treatment. Reducing repeated surgery and facilitating patient compliance may potentiate mandibular growth.http://www.sciencedirect.com/science/article/pii/S2212426822000975TemporomandibularGrowth defectChildReconstructionAnkylosis
spellingShingle Nadeem R. Saeed
Barbara Gerber
Management of the secondary growth defect
Journal of Oral Biology and Craniofacial Research
Temporomandibular
Growth defect
Child
Reconstruction
Ankylosis
title Management of the secondary growth defect
title_full Management of the secondary growth defect
title_fullStr Management of the secondary growth defect
title_full_unstemmed Management of the secondary growth defect
title_short Management of the secondary growth defect
title_sort management of the secondary growth defect
topic Temporomandibular
Growth defect
Child
Reconstruction
Ankylosis
url http://www.sciencedirect.com/science/article/pii/S2212426822000975
work_keys_str_mv AT nadeemrsaeed managementofthesecondarygrowthdefect
AT barbaragerber managementofthesecondarygrowthdefect