Long-term follow-up of a mandibular costochondral graft

Treatment of TMJ ankylosis in Jordanian children – a comparison of two surgical techniques

“…Most interesting is the reported overgrowth of the graft (Ellis et al, 2002). Many studies reported on the transplantation of 1-2 cm of cartilage with the costochondral graft when replacing the mandibular condyle (Rowe, 1982;Figueroa et al, 1984;Munro et al, 1986;Tideman and Doddridge, 1987). It is hypothesized that overgrowth of the mandible following costochondral grafting occurred because of transplantation of excessive amounts of cartilage (Copray et al, 1986;Peltomäki and Rönning, 1991;Peltomäki, 1992;Svensson and Adell, 1998;Ellis et al, 2002).…”

Morphometric analyses of the mandible in prepubertal craniofacial microsomia patients treated with an inverted‐L osteotomy

“…Some investigators have attempted to quantify data using cephalometry (e.g., Farrell and Kent, 1977;Ware and Brown, 1981;Padwa et al, 1998). Others, however, use clinical observations to document findings (e.g., Figueroa et al, 1984). For example, Kaban et al (1988) carried out a comprehensive study involving clinical and cephalometric observations.…”

“…There are opposing beliefs regarding prepubertal mandibular surgery on CFM patients (Ware and Brown, 1981;Figueroa et al, 1984;Kaban et al, 1988; …”

Management of Juvenile Temporo-mandibular Joint Ankylosis by Gap Arthoplasty

“…Therefore, treatment should be initiated as soon as the condition is recognized, with the main objective of re-establishing joint function and harmonious jaw function. 4,5 Various autogenous grafts, including the metatarsus, 6 clavicle, 7 and iliac crest, 8 as well as various alloplastic materials, 9 have been used to reconstruct the TMJ. However, the free CCG has gained popularity in the past 2 decades 4.…”

“…18 In addition, several prosthetic options for TMJ reconstruction exist, including Silastic sheeting material (Vitek Inc., Houston, Texas), the TMJ condylar prosthesis, custom glenoid fossa implants, articular eminence implants and mandibular reconstruction plates with condylar heads. 19 The CCG offers several advantages, including biologic and anatomic similarity to the mandibular condyle, low morbidity of the donor site, ease in obtaining and adapting the graft, and regenerative potential in the growing child .5,8 When a CCG is used, the hope is that, because of the similarities of its primary and secondary cartilage to those of the mandibular condyle, 8 the graft will provide growth potential and keep pace with the growth of the unaffected side, to maintain mandibular symmetry throughout the growth period. 5 It has been demonstrated that CCGs tend to have a more vertically directed condylar growth pattern and a more laterally positioned condyle than the native bone tissue and may even cause mandibular prognathism necessitating orthognathic surgery in the form of mandibular setback.…”