Document Detail

Overgrowth of a costochondral graft in a case of temporomandibular joint ankylosis.
MedLine Citation:
PMID:  17993911     Owner:  NLM     Status:  MEDLINE    
Ankylosis of the temporomandibular joint (TMJ) involves fusion of the mandibular condyle to the base of the skull. When it occurs in a child, it can have devastating effects on the future growth and development of the jaws and teeth. Furthermore, in many cases, it has a profoundly negative influence on the psychosocial development of the patient because of the obvious facial deformity. Reconstruction of the mandibular condyle with costochondral grafts(CCGs) in children may result in overgrowth at the reconstructed side of the mandible. The growth pattern of the CCG is extremely unpredictable, and mandibular overgrowth on the grafted site can actually be more troublesome than the lack of growth. We report the case of a 3-year-old boy with temporomandibular ankylosis, which was treated with a CCG. The mandibular condyles and coronoid were resected unilaterally and immediately reconstructed with autogenous CCGs. He required one further resection because the grafted tissue had overgrown 5 years later.
Safavi Siavosh; Manafi Ali
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  18     ISSN:  1049-2275     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-12     Completed Date:  2008-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1488-91     Citation Subset:  D    
Department of Plastic Surgery, Iran Medical Science University, Tehran, Iran.
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MeSH Terms
Ankylosis / surgery*
Cartilage / transplantation*
Child, Preschool
Hyperostosis / etiology*,  surgery
Mandibular Diseases / etiology*,  surgery
Temporomandibular Joint Disorders / surgery*
Transplantation, Autologous / adverse effects

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