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Table 1 Reconstruction of the TMJ after chondrosarcoma ablation and surgical approaches to the facial nerve in our cases

From: Surgical management and final outcomes of chondrosarcoma of the temporomandibular joint: case series and comprehensive literature review

Case

Mandibular condyle reconstruction

Glenoid fossa reconstruction

Free flap for soft tissue reconstruction

Facial nerve approach

Resected or cut nerve area

Nerve repair method

(grafted nerve)

Post-operative House-Brackmann grade a

1

Vascularized costal bone

None

LD & SA

Segmental resection

Frontal branch

Nerve graft

(great auricular nerve)

No data

2

Condylar prosthesis and R-plate

None

LD

Segmental resection

Temporofacial trunk

Nerve graft

(thoracodorsal nerve)

IV

3

Condylar prosthesis and R-plate

None

SA

Intentional cut

Zygomatic branch

End to end repair

II

4

Condylar prosthesis and R-plate

Fossa implant

SA

Intentional cut

Temporofacial trunk,

Cervicofacial trunk

End to end repair

III

5

Condylar prosthesis and R-plate

Fossa implant

LD

Intentional cut

Temporofacial trunk,

Cervicofacial trunk

End to end repair

III

6

Condylar prosthesis and R-plate b

None

LD

Retraction

None

None

II

7

Ramal condylar implant

Fossa implant

SA

Retraction

None

None

II

8

Ramal condylar implant

Fossa implant

SA

Retraction

None

None

I

9

Ramal condylar implant

Fossa implant

SA

Intentional cut

Temporofacial trunk

End to end repair

Follow-up loss

10

Condylar prosthesis and R-plate

Fossa implant

SA

Retraction

None

None

I

  1. House-Brackmann grading scale: IV moderately severe dysfunction, III moderate dysfunction, II mild dysfunction, I normal
  2. R-plate reconstruction-plate, LD latissimus dorsi, SA serratus anterior
  3. aPost-operative House-Brackmann grading scale was evaluated at least one year after the surgical procedure
  4. bThe R-plate fractured 23 months after the primary surgery and the mandible was reconstructed with a vascularized fibular free flap