THE EFFECT OF COSTCHONDRAL GRAFT ON THE RECONSTRUCTION OF TEMPOROMANDIBULAR JOINT

측두하악 관절의 재건을 위한 늑연골 이식의 효과

  • Kim, Tae-Kyu (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Park, Sang-Jun (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Shin, Sang-Hun (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Kim, Sung-Gil (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Seo, Jong-Chun (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Chung, Gi-Deon (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Lee, Seong-Geun (Dept. of Oral and Maxillofacial Surgery, Kosin Medical College, Kosin University)
  • 김태규 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 박상준 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 신상훈 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 김성길 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 서종천 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 정기돈 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 이성근 (고신대학교 의과대학 구강악안면외과학교실)
  • Published : 1996.09.30

Abstract

We performed costochondral grafting in mmandibular reconstruction including condyle replacement in 5 patients which have 4 cases of ameloblastoma, 1 case of resorption of left condyle due to osteomyelitis. We harvested the 6 th costochondral cartilage of unaffected side. No specific complications were appeared with unexpected fracture of costochondral junction and infection of operation site, These patients show 30-45mm at month opening, near normal of affected side, near normal or normal of unaffected side at lateral excursion. Postoperative coureses was uneventful with improved cosmetic and functional results. Our report is indicated that the costochondral graft is satisfactory to reconstruct mandibular defect including condyle replacement, especially in growing patients.

Keywords