Endoscopically assisted reconstruction of the mandibular condyle with a costochondral graft through a modified preauricular approach.
We describe our experience with reconstruction of the mandibular condyle with a costrochondral graft (CCG). We retrospectively evaluated 122 patients with diagnoses including osteoarthrosis, ankylosis, tumours, idiopathic condylar resorption, comminuted condylar fracture, and chronic osteomyelitis of the temporomandibular joint (TMJ). We used a modified preauricular approach and an endoscopically assisted technique. The grafts were followed-up by computed tomograms (CTs) and magnetic resonance (MR) examinations. All patients had successful reconstruction of the mandibular condyle with a CCG. No patient had permanent weakness of the facial nerve or any other severe complication. With its wide range of indications, the endoscopically assisted reconstruction of the mandibular condyle with a CCG through a modified preauricular approach can produce good aesthetic and functional results while reducing operating time and tissue damage.
Qiu
Ya-ting
YT
Department of Oral and Maxillofacial Surgery, Shanghai Ninth People's Hospital, School of Stomatology, Shanghai Jiaotong University School of Medicine, 639# Zhi-zao-ju Road, Shanghai 200011, PR China.
Yang
Chi
C
Chen
Min-jie
MJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D001182:Arthroscopy / Q000379:methods; D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy / Q000379:methods*; D005145:Face / Q000601:surgery; D005152:Facial Muscles / Q000601:surgery; D005260:Female; D006801:Humans; D019248:Jaw Fixation Techniques; D008297:Male; D008335:Mandibular Condyle / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013704:Temporomandibular Joint / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D055815:Young Adult