Reconstruction of nongrowing hemifacial microsomia patient with custom-made unilateral temporomandibular joint total joint prosthesis and orthognathic surgery

A case of hemifacial microsomia in a young male is presented. The ascending ramus and condyle was reconstructed utilizing virtual 3D planning with a custom-made total TMJ device (TMJ Concepts, USA) in combination with conventional orthognathic surgery. The alternative available reconstructive options are discussed and the advantages and disadvantages of the technique selected.