{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:32:01Z","timestamp":1772166721015,"version":"3.50.1"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Maxillofac Plast Reconstr Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In patients with hemifacial microsomia accompanied by mandibular fossa deficiency and severe atrophy of the mandibular ramus, customized total joint replacement (TJR) is commonly used to restore masticatory and joint function and improve facial asymmetry. However, in countries where customized TJR is not approved, or for patients for whom the cost is prohibitive, a stock TJR system must be considered. In cases with a severely medially inclined frontal ramal angle and a lack of supporting bone for the fossa component, using a stock TJR poses significant technical challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>This case report describes the use of autogenous bone grafting to overcome these limitations. An 18-year-old male with HFM type IIB on the left side received staged procedures, including bone grafting between mandibular proximal and distal segments to increase the frontal ramal angle, autogenous reconstruction of the mandibular fossa to enable fixation of the TJR fossa component, and orthognathic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The frontal ramal angle improved by approximately 6.5 degrees, and 12.42\u00a0mm advancement of the pogonion could be achieved in lateral cephalogram. Successful functional and esthetic outcomes were achieved, with stable maintenance of a stock Biomet TJR over a seven-year period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40902-025-00478-5","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T10:00:49Z","timestamp":1760522449000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Total joint replacement with the stock Biomet system in adult hemifacial microsomia without glenoid fossa: a case report and literature review"],"prefix":"10.1186","volume":"47","author":[{"given":"Kang Hee","family":"Yu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeong Joon","family":"Han","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soon Jung","family":"Hwang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"key":"478_CR1","first-page":"2968983","volume":"2018","author":"P Cascone","year":"2018","unstructured":"Cascone P, Vellone V, Ramieri V, Basile E, Tarsitano A et al (2018) Reconstruction of the Adult Hemifacial Microsomia Patient with Temporomandibular Joint Total Joint Prosthesis and Orthognathic Surgery. Case Rep Surg 2018:2968983","journal-title":"Case Rep Surg"},{"issue":"2","key":"478_CR2","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1055\/s-0032-1320067","volume":"26","author":"CB Birgfeld","year":"2012","unstructured":"Birgfeld CB, Heike C (2012) Craniofacial microsomia. Semin Plast Surg 26(2):91\u2013104","journal-title":"Semin Plast Surg"},{"issue":"5","key":"478_CR3","first-page":"15","volume":"46","author":"DF L\u00f3pez","year":"2022","unstructured":"L\u00f3pez DF, Acosta DM, Rivera DA, Mej\u00eda CM (2022) Hemifacial microsomia: treatment alternatives-a systematic review of literature. J Clin Pediatr Dent 46(5):15\u201330","journal-title":"J Clin Pediatr Dent"},{"issue":"Suppl 1","key":"478_CR4","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1007\/s12663-023-01896-6","volume":"22","author":"P Subash","year":"2023","unstructured":"Subash P, V VP, Iyer S, Nerurkar S, Krishnadas A et al (2023) Concomitant Microvascular Aided Extended Temporo-Mandibular Joint Replacement (ME-TJR) and Stock Temporo-Mandibular Joint Replacement (MS-TJR) During Mandibular Reconstruction. J Maxillofac Oral Surg 22(Suppl 1):110\u2013117","journal-title":"J Maxillofac Oral Surg"},{"issue":"6","key":"478_CR5","doi-asserted-by":"publisher","first-page":"1018","DOI":"10.1016\/j.joms.2022.01.021","volume":"80","author":"WX Briceno","year":"2022","unstructured":"Briceno WX, Milkovich J, El-Rabbany M, Caminiti MF, Psutka DJ (2022) Reconstruction of large defects using extended temporomandibular joint patient-matched prostheses. 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