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RESULTS: Five TMJs in 4 patients (1 bilateral, 3 unilateral) were reconstructed. Causes of TMJ absence included Goldenhar Syndrome (2), idiopathic bilateral condylar resorption (1), and post-oncologic in a patient with Gorlin Syndrome (1). The two patients with Goldenhar Syndrome had previous attempts at reconstructive surgery with poor results (distraction, bone grafting, alloplastic implants). All patients were skeletally mature at the time of surgery, had virtual surgical planning and had concomitant maxillomandibular orthognathic surgery at the time of TMJ reconstruction. All patients had improved post-operative occlusal results. Three of 4 patients had >30 millimeters post-operative maximal incisal opening. Complications included revision of implant position (1), ear canal perforation (1), and frontal branch of facial nerve injury requiring secondary brow lift (1). There were no infections or other implant-related complications. Mean follow up was 1.32 years (range, 0.46–2.74 years).

Abstract: Prolonged Antibiotic Duration Does Not Affect Surgical Site Infection Rates in Traumatic Mandible Fracture