Application of custom-made TMJ prosthesis in hemifacial microsomia

A case of hemifacial microsomia in an adult female is presented. The ascending ramus and condyle was primarily reconstructed using an iliac crest free bone graft. Following resorption of the bone graft, a custom-made total TMJ device (TMJ Concepts, USA) was used to correct the deformity. The alternative available reconstructive techniques are discussed and the advantages and disadvantages of the method selected.