측두하악관절원판 절제 후 측두근-두개골막 피판을 이용한 수복술의 1예

A case report of TMJ disc replacement using temporalis muscle-pericranial flap

If the disc has been damaged beyond repair, it should be removed and suitable graft implanted. A multitude of interpositional material such as silicone, Proplast, Teflon, dermis, fascial lata have been used to prevent further degenerative bony changes on the TMJ. But, the deal disc replacement material has not been developed until now. This case presented is 28:year-old female whose chief complaints were pain on the Lt. side TMJ and mouth opening limitation and diagnosed as degenerative arthritis on the Lt. TMJ with disc perforation. We operated on the TMJ with condylar shaving, eminectomy and menisectomy procedure and the disc was replaced by pedicled Temporalis muscle-pericranial flap. The result is very successful and using of the pedicled Temporalis muscle-pericranial flap is seems to be excellent one method to reconstruct disc.