Table 2 Comparison of the different surgical solutions (see Table 1) used for bicondylar mandibular reconstructions: articular disk preservation, condylar resuspension to the glenoid fossa, soft tissue flaps or paddles for intra- or extraoral lining, functional outcomes, and dental restoration
Author | Bone flap | Condyle | TMJ disk preservation | Mandibular body | Joint/material | Follow-up | Lining skin paddles | Mouth opening | Dental restoration |
|---|---|---|---|---|---|---|---|---|---|
Bhathena | 5th Rib | Bone flap | N.R. | Fractured rib unfixed | Resuspension/resorbable 2-0 | 24 | Intraoral skin paddle | >40 mm | Dental prosthesis |
Paley | 1 FFF* | Prosthetic | No | Bone flap and reconstructive plate | Prosthetic Christensen | 12 | No | >30MM | NN.R |
Jeremic | 1 FFF | Native | Native TMJ | Bone flap and miniplates | Native TMJ | 56 | No | >30MM | N.R. |
Abe | 1 FFF | Bone flap | No | Reconstructive plate virtual planning | Distant Suspension | 19 | No | >40 mm | N.R. |
Winters | 2 FFF | Bone flap | Yes | Reconstructive plate virtual planning | Resuspension/not resorbalbe 0 | 56 | Intraoral skin paddle | >30MM | N.R. |
Poukens | None | Prosthetic | ND | Xilloc total mandible titanium implant | Resuspension | 7 | NR | >40 mm | N.R. Web - Published |
Grinsell | 2 DCIA | Bone Flap | Yes | Bone flap and miniplates | Resuspension/not resorbalbe 0 | N.R. | Intraoral skin flap (RFFF ) | >30MM | N.R. |
Jambehkar | 1 FFF | Bone Flap | N.R | Bone flap and miniplates | Distant suspension | 48 | No | >30MM | Implants/overdenture |
Motlagh | Human allograft | Transplant | Yes | Allograft (cadaveric mandible) | Resuspension/resorbable 2-0 | 24 | No | >40 mm | N.R. |
Rustemeyer | 1 FFF | Prosthetic | No | Bone flap and miniplates | Prosthetic biomet | 12 | Extraoral skin paddle | >40 mm | Implants/overdenture |
Chernohorskyi | None | Prosthetic | N.R. | Xilloc total mandible titanium implant | Resuspension/NR | 27 | No | Good | Mobile denture |