Follow up of mandibular costochondral grafts after release of ankylosis of the temporomandibular joints.
The records of 55 patients with ankylosis of the temporomandibular joint (25 unilateral and 30 bilateral); were selected at random. In these patients, the resected condyles had been replaced with costochondral grafts and the patients were followed clinically and radiographically for 7-10 years. Of the 85 grafts, we found take and good remodeling in 50 (59%), reankylosis in 8 (9%), resorption of the graft in 21 (25%) and overgrowth of the graft in 3 (4%). Mouth opening was satisfactory (more than 25 mm) in 32 of the 55 patients (58%), unsatisfactory (between 5 and 25 mm) in 10 (18%), and the operation was a failure in 13 (24%).
Medra
Ahmed M M
AM
Department of Cranio-Maxillo-Facial, Oral & Plastic Surgery, Faculty of Dentistry, Alexandria University, Alexandria, Egypt. prof_ahmedmedra@hotmail.com
D000293:Adolescent; D000844:Ankylosis / Q000601:surgery*; D001862:Bone Resorption; D016025:Bone Transplantation / Q000009:adverse effects; D002356:Cartilage / Q000637:transplantation; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000473:pathology / Q000601:surgery*; D019647:Oral Surgical Procedures; D016059:Range of Motion, Articular; D012008:Recurrence; D012189:Retrospective Studies; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D017211:Treatment Failure