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Case Reports
. 2019 Jul-Dec;9(2):481-483.
doi: 10.4103/ams.ams_70_19.

Remodeling of Neocondyle

K R Ashok Kumar  1 , R Ravikumar  1 , T R Marimallappa  1 , Hijam Thoithoibi Chanu  1
Affiliations
Case Reports

Remodeling of Neocondyle

K R Ashok Kumar et al. Ann Maxillofac Surg. 2019 Jul-Dec.

Abstract

Temporomandibular joint (TMJ) ankylosis in children is one of the most complex and challenging problems managed by oral and maxillofacial surgeons. TMJ ankylosis in growing children often leads to facial deformity, difficulty in chewing and swallowing, severe malocclusion, poor oral hygiene, multiple decayed teeth, and impairment of speech. A good functional and esthetic outcome can be achieved after reconstruction with the autogenous grafts. Here, we present a case of a 9-year-old patient treated with condylectomy and ipsilateral coronoidectomy, followed by reconstruction with costochondral graft with 5 years of follow-up. During this period, the reconstructed graft remodeled into a neocondyle and also regrowth of the coronoid process. The mouth opening and facial symmetry were acceptable.

Keywords: Costochondral graft; neocondyle; temporomandibular joint ankylosis.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative photograph showing limited mouth opening
Figure 2
Figure 2
Preoperative orthopantomogram showing the ankylotic condylar mass
Figure 3
Figure 3
Preoperative coronal computed tomography
Figure 4
Figure 4
Intraoperative photograph showing costochondral graft fixed with 2 mm × 10 mm titanium screws
Figure 5
Figure 5
Photograph showing costochondral graft taken from the sixth rib
Figure 6
Figure 6
Postoperative mouth opening 5 years after left temporomandibular joint reconstruction
Figure 7
Figure 7
Five years postoperative orthopantomogram
Figure 8
Figure 8
Five years postoperative coronal computed tomography showing the formation of the left neocondyle
See this image and copyright information in PMC

References

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