Costochondral grafting for paediatric temporomandibular joint reconstruction: 10-year outcomes in 55 cases

Awal, D.; Jaffer, M.; Charan, Garima; Ball, Rebecca; Kennedy, Gregory T.; Thomas, Suraj; Farook, S.; Mills, Caroline; Ayliffe, Peter

doi:10.1016/j.ijom.2018.06.004

Cited by 37 publications

(21 citation statements)

References 38 publications

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“…A systematic review by Kiran et al reported similar findings as well [65]. A long-term study of 55 patients by Awal et al reported that after 10 years, there were 58.9% of cases with unpredictable growth and graft resorption, 12.9% of cases with pneumothorax, and 1.8% of cases warranted immediate tracheostomy [66]. In fact, a 2015 study concluded that evidence for costochondral growth may not be sufficient.…”

Section: Complicationsmentioning

confidence: 76%

Commonly Utilized Non Vascularised Bone Grafts in Maxillofacial Reconstruction

Anand¹,

Panwar²

2021

Surgical Management of Head and Neck Pathologies

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Surgical defects created secondary to oncological resection are often debilitating for patients, both functionally and esthetically. Meticulous surgical planning and intricate knowledge of the vital anatomical structures are essential for understanding the biology of reconstruction in the craniofacial skeleton. Unlike reconstructive procedures in other areas where the functional components may be given priority, reconstruction of the face requires a delicate balance between the esthetic and functional units. Despite new developments, autogenous grafts have frequently remained a reliable alternative that withstood the test of time. Non-vascularized bone grafts are often a subset of autogenous grafts, where the graft solely depends on the recipient’s vascularity and is indicated in defect sizes of less than 6 cm.

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Section: Complicationsmentioning

confidence: 76%

Commonly Utilized Non Vascularised Bone Grafts in Maxillofacial Reconstruction

Anand¹,

Panwar²

2021

Surgical Management of Head and Neck Pathologies

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“…In 1920, Gillies firstly described the use of costochondral graft(CCG) to perform a Temporomandibular joint(TMJ) reconstruction, but it didn't become popular until 1974 17 . Since then, CCG has been a mainstream method in a long time, especially before artificial joints were developed [1][2][3][4][5] . CCG has a cartilaginous cap, the native size and morphological similarity make this type of graft a perfect match in TMJ.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, growth potential and minimal immunological counter-response also contribute to the advantages of CCG 6 , 7 . Scholars including Awal et al 1 (N = 74), Kumar et al 2 (N = 6), Medra 4 (N = 85), Perrott et al 5 (N = 33), reported the outcomes of long-time effects, of all their studies, ankyloses 3 , overgrowth, and resorption were major components of complications. Other complications including postoperative pain, donor site morbidity 8 and osteolysis 9 .…”

Section: Discussionmentioning

confidence: 99%

“…Costochondral graft (CCG) has been a mainstream method for mandibular reconstruction in a long time, especially before artificial joints were developed 1 – 5 . The native size and morphological similarity make it a perfect match in TMJ.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, growth potential and minimal immunological counter-response also contribute to the advantages of CCG 6 , 7 . Complications including ankyloses, overgrowth, graft resorption, postoperative pain, donor site morbidity and osteolysis 1 – 3 , 5 , 8 , 9 . Several reports 10 , 11 mentioned postoperative costochandral graft fracture, usually occurred in cases with coronoidectomy, but the fracture reason so far has not been explored.…”

Section: Introductionmentioning

confidence: 99%

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Biomechanical analysis of costochondral graft fracture in temporomandibular joint replacement

Mao

Chen

et al. 2020

Sci Rep

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This study is the first attempt to explore the reason of costochondral graft fracture after lengthy mandible advancement and bilateral coronoidectomy by combining finite element analysis and mechanical test. Eleven groups of models were established to simulate costochondral graft reconstruction in different degrees of mandible advancement, ranging from 0 to 20 mm, in 2 mm increment. Force and stress distribution in the rib-cartilage area were analyzed by finite element analysis. Mechanical test was used to evaluate the resistance of the rib-cartilage complex. Results showed a sharp increase in horizontal force between 8 and 10 mm mandible advancement, from 26.7 to 196.7 N in the left side, and continue increased after 10 mm, which was beyond bone-cartilage junction resistance according to mechanical test. Therefore, we concluded that bilateral reconstruction with coronoidectomy for lengthy mandible advancement (≥ 10 mm) may lead to prominent increase in shear force and result in a costal-cartilage junction fracture, in this situation, alloplastic prosthesis could be a better choice. We also suggested that coronoidectomy should be carefully considered unless necessary.

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End-Stage Temporomandibular Joint Disease

Mercuri

Granquist

2022

Peterson’s Principles of Oral and Maxillofacial Surgery

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Costochondral grafting for paediatric temporomandibular joint reconstruction: 10-year outcomes in 55 cases

Cited by 37 publications

References 38 publications

Commonly Utilized Non Vascularised Bone Grafts in Maxillofacial Reconstruction

Commonly Utilized Non Vascularised Bone Grafts in Maxillofacial Reconstruction

Biomechanical analysis of costochondral graft fracture in temporomandibular joint replacement

End-Stage Temporomandibular Joint Disease

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