Evidence map›Paper›PMID 37892750›Full record

ArticleJournal of clinical medicine2023

Considerations for the Use of Alloplastic Temporomandibular Joint Replacement in Irradiated Patients: Report of an Off-Label Indication.

David Faustino Ângelo, Francesco Maffia, Marcus Teschke, David Sanz, Marta Galrito, Henrique Cardoso, Rute Marques, Carlos Nabuco

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

David Faustino ÂngeloInstituto Português da Face, 1050-227 Lisbon, Portugal.
Francesco MaffiaInstituto Português da Face, 1050-227 Lisbon, Portugal.ORCID 0000-0003-1293-2107
Marcus TeschkeIndependent Researcher, 28195 Bremen, Germany.
David SanzInstituto Português da Face, 1050-227 Lisbon, Portugal.
Marta GalritoInstituto Português da Face, 1050-227 Lisbon, Portugal.
Henrique CardosoInstituto Português da Face, 1050-227 Lisbon, Portugal.ORCID 0000-0002-5750-2875
Rute MarquesInstituto Português da Face, 1050-227 Lisbon, Portugal.
Carlos NabucoInstituto Português da Face, 1050-227 Lisbon, Portugal.
Instituto Português Da Qualidade · PTUniversity of Bremen · DEUniversity of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCustom-made alloplastic temporomandibular joint replacement (ATMJR) is not validated in irradiated patients. However, in specific situations, after previous reconstructive surgical failures, the authors hypothesized the role of a customized ATMJR after radiotherapy.

methodsA 65-year-old male patient was referred to Instituto Português da Face-Lisbon, Portugal-after failed attempts of mandibular reconstruction secondary to oral carcinoma resection and partial hemi-mandibulectomy plus radiotherapy of 60 total Grays. Primary reconstruction was performed with fibula free flap. Due to failure, secondary reconstructions were performed with osteosynthesis plate without success. The patient was unable to have adequate mastication and deglutition due to a severe crossbite. The authors treated the patient with an extended customized alloplastic temporomandibular joint replacement (F0M2).

resultsWith 3 years of follow-up, the patient showed an improvement in masticatory function, mandibular motion, pain levels, and overall quality of life. No complications were observed related to ATMJR.

conclusionsThe presented case described how ATMJR, although not a validated option after radiotherapy, can be considered to restore functionality in complex cases with bone and soft tissues problems.

Indexed as

adjuvant radiotherapyfree tissue flapshead and neck neoplasmstemporomandibular jointtotal joint replacement

Identifiers

PMID37892750
PMCPMC10607587
OpenAlexW4387774943

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.