J Oral Med Oral Surg
Volume 25, Number 4, 2019
|Number of page(s)||4|
|Section||Cas clinique et revue de la littérature / Up-to date review and case report|
|Published online||08 November 2019|
Up-to Date Review And Case Report
Mandibular ascending branch and condyle reconstruction in adolescence by a costochondral rib graft with an observation period over 8 years
Department of Oral and Maxillofacial Surgery and Facial Plastic Surgery, Martin-Luther-University Halle-Wittenberg, Halle, Germany
2 Department of Neurosurgery, Martin-Luther-University Halle-Wittenberg, Halle, Germany
* Correspondence: firstname.lastname@example.org
Accepted: 17 October 2019
Introduction: The need to resect and reconstruct the condylar process of the mandible in a teenager is rare. Reconstruction strategy must be accurately assessed in terms of donor side morbidity, postoperative risks (ankylosis) and the possibility of sufficient development in a growing patient. Observation: A 14-year-old boy presented with the radiographic finding of a large cystic lesion of the right condylar process. There were no clinical symptoms as pain, a limitation of mouth opening or malocclusion. Pathohistological examination confirmed a solitary bony cyst. The resected ascending jaw and condylar process was reconstructed by a costochondral rib graft. Commentaries: Over 8 years the development of the reconstructed ascending jaw and condyle was observed. There was an undisturbed growth. The cartilaginous part of the costochondral graft remodeled to a sufficient condylar process without ankylosis, resorption or overgrowth. Conclusion: The reconstruction of the growing mandible and condylar process in an adolescent is a challenge. Observation over 8 years showed a sufficient reconstruction. Intraoperative the chondral portion of the graft has to be handled carefully to avoid a separating from the bony part. The growth potential of the costochondral rib transplant allows a functional reconstruction without substantial donor side morbidity in adolescent patients.
Key words: costochondral rib graft / temporomandibular joint reconstruction / growth potential
© The authors, 2019
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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