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. 2005 Apr;43(2):118-22.
doi: 10.1016/j.bjoms.2004.05.004.

Follow up of mandibular costochondral grafts after release of ankylosis of the temporomandibular joints

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Follow up of mandibular costochondral grafts after release of ankylosis of the temporomandibular joints

Ahmed M M Medra. Br J Oral Maxillofac Surg. 2005 Apr.

Abstract

The records of 55 patients with ankylosis of the temporomandibular joint (25 unilateral and 30 bilateral); were selected at random. In these patients, the resected condyles had been replaced with costochondral grafts and the patients were followed clinically and radiographically for 7-10 years. Of the 85 grafts, we found take and good remodeling in 50 (59%), reankylosis in 8 (9%), resorption of the graft in 21 (25%) and overgrowth of the graft in 3 (4%). Mouth opening was satisfactory (more than 25 mm) in 32 of the 55 patients (58%), unsatisfactory (between 5 and 25 mm) in 10 (18%), and the operation was a failure in 13 (24%).

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