Open AccessRemodeling of neocondyle
Author(s) -
KR Ashok Kumar,
R Ravikumar,
T. R. Marimallappa,
Hijam Thoithoibi Chanu
Publication year - 2019
Publication title -
annals of maxillofacial surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.365
H-Index - 6
ISSN - 2231-0746
DOI - 10.4103/ams.ams_70_19
Subject(s) - medicine , ankylosis , swallowing , facial symmetry , dentistry , temporomandibular joint , deformity , orthodontics , coronoid process , facial deformity , malocclusion , surgery , elbow
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.