Temporomandibular Joint Reconstruction With Simultaneous Deep-Plane Rhytidectomy: A Case Report

This article covers a case report about approaching the mandible for temporomandibular joint (TMJ) reconstruction with simultaneous deep-plane rhytidectomy. Different methods have been used by surgeons to access the condylar neck with a focus on post-op cosmetic results. TMJ reconstruction surgeries have positive predicable results in most patients. However, facial scarring has always been a major drawback of the procedure. In our hospital, a patient presents with a stage 5 degenerative disease of the TMJ bilaterally and needed joint reconstruction. A deep-plane rhytidectomy was performed simultaneously, serving the purpose of accessing the joint for reconstruction, and not only minimizing post-op scarring but also providing the patient with a satisfactory cosmetic outcome. Deep-plane rhytidectomy can be used to access the condyle for TMJ reconstruction surgery. It provides patients, especially those with advanced age, with better aesthetics, which may be helpful in convincing patients to undergo surgery, and may also result in an overall positive post-op experience.