PMID- 29608904 OWN - NLM STAT- MEDLINE DCOM- 20190718 LR - 20190718 IS - 1531-5053 (Electronic) IS - 0278-2391 (Linking) VI - 76 IP - 8 DP - 2018 Aug TI - Foreign Body Giant Cell Reaction to a Proplast/Teflon Interpositional Implant: A Case Report and Literature Review. PG - 1719-1724 LID - S0278-2391(18)30198-8 [pii] LID - 10.1016/j.joms.2018.03.002 [doi] AB - After discectomy, interpositional implants (IPIs) are believed to provide temporomandibular joint stability and protect against degenerative joint space remodeling. Alloplastic IPIs gained popularity in the late 1970s because the practice showed early success without donor site morbidity. Unfortunately, these implants were subject to substantial fragmentation resulting in an exuberant foreign body giant cell response that progressively eroded adjacent structures. Most of these alloplastic implants were removed in the years following their recall by the US Food and Drug Administration in 1991, however some remained in circulation. This report describes a case of a failed Proplast/Teflon IPI 27 years after its placement. This case highlights the considerations for managing a patient with a Proplast/Teflon IPI and serves to remind providers that, although increasingly rare, these implants are still present and subject to delayed failure. CI - Copyright (c) 2018 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. FAU - Lee, Kevin C AU - Lee KC AD - Resident, Division of Oral and Maxillofacial Surgery, NewYork-Presbyterian/Columbia University Medical Center, New York, NY. Electronic address: kcl2136@cumc.columbia.edu. FAU - Eisig, Sidney B AU - Eisig SB AD - Chairman, Division of Oral and Maxillofacial Surgery, NewYork-Presbyterian/Columbia University Medical Center, New York, NY. FAU - Perrino, Michael A AU - Perrino MA AD - Assistant Professor, Division of Oral and Maxillofacial Surgery, NewYork-Presbyterian/Columbia University Medical Center, New York, NY. LA - eng PT - Case Reports PT - Journal Article PT - Review DEP - 20180308 PL - United States TA - J Oral Maxillofac Surg JT - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JID - 8206428 RN - 0 (Proplast) RN - 9002-84-0 (Polytetrafluoroethylene) SB - IM MH - Cephalometry MH - Female MH - Giant Cells, Foreign-Body MH - Granuloma, Foreign-Body/diagnostic imaging/*etiology MH - Humans MH - Mandibular Prosthesis/*adverse effects MH - Middle Aged MH - Polytetrafluoroethylene/*adverse effects MH - Proplast/*adverse effects MH - Prosthesis Failure MH - Radiography, Panoramic MH - Temporomandibular Joint Disorders/*surgery MH - Tomography, X-Ray Computed EDAT- 2018/04/03 06:00 MHDA- 2019/07/19 06:00 CRDT- 2018/04/03 06:00 PHST- 2018/02/06 00:00 [received] PHST- 2018/02/24 00:00 [revised] PHST- 2018/03/01 00:00 [accepted] PHST- 2018/04/03 06:00 [pubmed] PHST- 2019/07/19 06:00 [medline] PHST- 2018/04/03 06:00 [entrez] AID - S0278-2391(18)30198-8 [pii] AID - 10.1016/j.joms.2018.03.002 [doi] PST - ppublish SO - J Oral Maxillofac Surg. 2018 Aug;76(8):1719-1724. doi: 10.1016/j.joms.2018.03.002. Epub 2018 Mar 8.