[Costal chondral grafting combined with mandibular distraction osteogenesis. A new approach to the correction of the temporomandibular joint ankylosis in an adult. A report of a case].
The authors present a thirty two years old women complaining of a temporomandibular joint ankylosis. History revealed a mandibular trauma sustained during the early infancy. The patient presented a typical bird face deformity with a maximal mouth opening of zero millimiter. Facing the squelettal deformation, the authors decide to combine a simultaneous costochondral graft with bilateral horizontal branch distraction. Good functional and aesthetic results allow the patient to return to a good social integration with no sign of recurrence at the medium term follow-up.
Jaquinet
A R
AR
Unité de chirurgie maxillofaciale, division de chirurgie réparatrice, département de chirurgie, hôpitaux universitaires de Genève, 24, rue Micheli-du-Crest, CH-1211 Genève 14, Suisse.
Goudot
P
P
Richter
M
M
D000328:Adult; D005260:Female; D006801:Humans; D019857:Osteogenesis, Distraction / Q000379:methods*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods; D012272:Ribs / Q000637:transplantation*; D013705:Temporomandibular Joint Disorders / Q000000981:diagnostic imaging / Q000601:surgery*; D020254:Tooth Ankylosis / Q000000981:diagnostic imaging / Q000601:surgery*
Greffe chondrocostale et distraction mandibulaire simultanée. Une nouvelle approche dans le traitement de l'ankylose temporomandibulaire chez l'adulte. A propos d'un cas clinique.