SSOD46 - Growing with the Joint: Contemporary Strategies for TMJ Reconstruction in Pediatric Patients

This session focuses on the unique challenges of reconstructing the temporomandibular joint in skeletally immature patients. It emphasizes the importance of accommodating ongoing craniofacial growth while restoring joint function, facial symmetry and airway space. The session discusses established and emerging surgical options, such as autogenous costochondral grafts known for their growth potential and newer alloplastic prostheses customized for pediatric patients. Key topics include patient selection, timing of surgery and strategies to prevent ankylosis and reduce complications. Postoperative management, including physiotherapy and long-term follow-up, is highlighted to optimize outcomes and monitor growth. Clinical case examples illustrate practical decision-making and surgical techniques. The session aims to provide a multidisciplinary framework that balances growth accommodation with functional and esthetic goals, preparing surgeons to effectively manage complex pediatric TMJ reconstructions. This comprehensive approach offers attendees valuable insights into evolving treatment modalities and future directions in pediatric TMJ surgery, ultimately enhancing patient care and long-term prognosis.