[Indication for condyle reconstruction in TMJ fractures during childhood].
Four cases of unilateral juvenile growth retardation of the lower jaw caused by trauma of the temporomandibular joint are presented (age 5-13 years, 1 female, 3 male). Three cases had ankylosis of the TMJ. In all patients, a reconstruction of the condyle by transplantation of rib or iliac crest grafts was performed. Follow-up time was 1.5 to 3 years. Postoperatively, good function was achieved in all cases; a tendency for growth induction was found in 3 cases, overgrowth in one case. Severe impediment of lower jaw mobility, when combined with foreseeable growth impediment, as well as traumatically induced hypoplasia are proposed as indications for autologous joint reconstruction.
Reich
R H
RH
Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Medizinische Hochschule Hannover.
D000844:Ankylosis / Q000209:etiology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000254:growth & development* / Q000601:surgery; D008335:Mandibular Condyle / Q000293:injuries* / Q000601:surgery*; D008337:Mandibular Fractures / Q000150:complications / Q000601:surgery*; D013704:Temporomandibular Joint / Q000293:injuries* / Q000601:surgery; D013705:Temporomandibular Joint Disorders / Q000209:etiology* / Q000601:surgery
Zur Indikation der Kondylusrekonstruktion bei kindlichen Kiefergelenkfrakturen.