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Journal of Maxillofacial and Oral Surgery

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01-12-2021 | Invited Review

Autogenous Fat as an Ideal Interpositional Material in Temporomandibular Joint Surgery

Author: Sachin Rai

Published in: Journal of Maxillofacial and Oral Surgery | Issue 4/2021

Abstract

Interpositional gap arthroplasty has established itself as the the standard surgical treatment of Temporomandibular joint (TMJ) ankylosis. The autogenous tissue has replaced the alloplastic and other xenografts materials owing to its bioavailability, easy uptake, and no additional cost. Commonly used autogenous tissue has been temporalis muscle and fascia, fascia lata, skin graft, auricular and costal cartilage, the masseter and/or medial pterygoid muscle. With the turn of the century, TMJ surgeons started using autogenous fat from the lower abdomen and today it has taken over as the most favored autogenous filler material in TMJ ankylosis surgery or total joint replacement (TMJ-TJR). The use of buccal fat pad (BFP) has increased in the last decade due to its local availability and pedicled nature. This paper will discuss various autogenous tissues used in interposition and bring forth the journey of the autogenous fat as the preferred interpositional material now and rest the case in its favor.

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Title: Autogenous Fat as an Ideal Interpositional Material in Temporomandibular Joint Surgery
Author: Sachin Rai
Publication date: 01-12-2021
Publisher: Springer India
Published in: Journal of Maxillofacial and Oral Surgery / Issue 4/2021
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-021-01648-4

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Autogenous Fat as an Ideal Interpositional Material in Temporomandibular Joint Surgery

Abstract

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