TEMPOROMANDIBULAR JOINT RECONSTRUCTION USING COSTOCHONDRAL GRAFT : CASE REPORTS

늑연골 이식을 이용한 악관절 재건술 : 증례보고

  • Kim, Il-Kyu (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Noh, Sang-Yup (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Oh, Seong-Seob (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Choi, Jin-Ho (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Oh, Nam-Sik (Dept. of Dentistry, College of Medicine, Inha University)
  • 김일규 (인하대학교 의과대학 치과학교실) ;
  • 노상엽 (인하대학교 의과대학 치과학교실) ;
  • 오성섭 (인하대학교 의과대학 치과학교실) ;
  • 최진호 (인하대학교 의과대학 치과학교실) ;
  • 오남식 (인하대학교 의과대학 치과학교실)
  • Published : 1998.06.30

Abstract

The aim of this article was to examine the usefulness of costochondral graft in the temporomandibular joint reconstruction. We performed costochondral grafting in the mandibular reconstruction including condyle replacement in 3 patients, which 2 of ankylosed cases and 1 destructed case. In one case, unexpected fracture of costochondral junction has developed at post-operative 2 months, but, normal mouth opening and facial appearance have been acheived by continuing exercise. These patients showed maximum mouth opening of 35-40 mm and no restriction of lateral side movement. They have been improved esthetics and function. We proposed that the costochondral graft is one of the useful method for functional reconstruction of defected mandibular condyle.

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