Reconstruction of the XXXX using a temporalis graft with or without simultaneous orthognathic surgery.

@entity1 @entity26610 @entity196 @entity158 @entity1348
PURPOSE: This article reports the outcome of free temporalis fascia and muscle graft ( @entity26610 ) reconstruction of the @entity1348 ( @entity1348 ) with and without simultaneous orthognathic surgery (SOS). MATERIALS AND METHODS: Twenty-nine @entity1 (45 joints) were evaluated retrospectively. Group 1 consisted of 17 @entity1 (16 @entity1 1 @entity1 ) and 30 joints. Fifteen (88%) @entity1 had sagittal split ramus osteotomies (SSRO); 8 (53%) of these @entity1 also had Le @entity196 , and 2 @entity1 (12%) had only Le @entity196 with @entity26610 . Group 2 consisted of 12 @entity1 (15 joints) who received only @entity26610 and no SOS. RESULTS: Group 1 had 9 @entity1 (53%) with an incisal opening greater than 35 mm, 11 joints (37%) with greater than 6 mm lateral excursive movement, and 11 @entity1 (65%) were asymptomatic postoperatively. Average follow-up was 57.4 months (range, 23 to 69 months). Group 2 had eight @entity1 (67%) with an incisal opening greater than 35 mm, six joints (40%) with greater than 6 mm lateral excursive movement, and seven @entity1 (58%) were asymptomatic postoperatively. Average follow-up was 55.1 months (range, 48 to 64 months). CONCLUSION: @entity26610 with and without SOS produced similar treatment outcomes in comparing groups 1 and 2. No significant differences were observed for the number of @entity1 with an incisal opening > 35 mm (P = .703), lateral excursion > 6 mm (P = 1.00), and successful elimination of @entity158 (P = 1.00), even though group 2 had a significantly greater number of @entity1 (P < 0.01) that were operated on unilaterally. Combining treatment outcomes for both groups, the number of previous joint surgeries significantly affected success (P < .01). The presence of osteoarthritic changes did-not significantly affect treatment outcome (P = .187).
