[One-staged orthognathic surgery and arthroscope-assisted condylar reconstruction with costochondral graft].
OBJECTIVE
To investigate one-staged orthognathic surgery and arthroscope-assisted condylar reconstruction with costochondral graft for temporomandibular diseases combined with dental-maxillofacial deformities.


METHODS
The preoperative measurement and model surgery was performed. The patients underwent arthroscope assisted condylar reconstruction with costochondral graft combined with bimaxillary surgery or mandibular surgery.


RESULTS
From Sept. 2003 to Dec. 2005, 15 cases were treated successfully with no bleeding, nerve injury and infection. The patients were followed up for 29 to 52 months (mean, 31.8 months). The appearance was markedly improved. TMJ function was good with no pain. The average maximum interincisal opening was 33.6 mm.


CONCLUSIONS
Compared with traditional operation, one-staged orthognathic surgery and arthroscope-assisted condylar reconstruction with costochondral graft has its advantages. Indication selection and preoperative design are very important.
Wang
Yu-liang
YL
Department of Oral & Maxillofacial Surgery, Affiliated Hospital of Binzhou Medical College, Binzhou, China.
Yang
Chi
C
Chen
Min-jie
MJ
Qiu
Yo-ting
YT
Zhang
Shan-yong
SY
D000328:Adult; D002356:Cartilage / Q000637:transplantation*; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D012272:Ribs / Q000637:transplantation; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D055815:Young Adult