Diamond fraise technique for dermal grafts in temporomandibular disk reconstruction.

Evidence from laboratory and animal studies provides groundwork for understanding mechanisms and potential before human studies continue.

• Level A · Stronger Clinical Evidence
• Level B · Emerging clinical evidence with positive signals
• Level C · Early human research exploring benefits
• Level D · Scientific groundwork from lab and animal studies
• Emerging · Emerging topic under active research

Abstract (original English)

Dermal grafts have been described for a variety of applications, including preprosthetic surgery, reconstructive surgery, and temporomandibular joint surgery. Several reports have described the procedural techniques for acquiring a dermal graft. The surgical technique for harvesting a dermal graft with the use of the dermabrading diamond fraise bur is described. The use of the diamond fraise bur offers many unique surgical advantages: it allows minimal damage to the dermal layer; the healing surface is smooth, cosmetic, homogenous, and devoid of scratches or debris; an adequate graft of uniform thickness is obtained; the technique allows access to a variety of donor sites; and minimal patient postoperative donor site morbidity. The use of this technique provides a simple, cosmetic approach to obtaining an adequate dermal graft for temporomandibular joint reconstructive procedures, while minimizing the potential complications associated with other commonly used techniques.

Evidence level

Evidence from laboratory and animal studies provides groundwork for understanding mechanisms and potential before human studies continue.

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