IMMEDIATE REPLACEMENT OF THE CONDYLE FOLLOWING DISARTICULATION RESECTION BY COSTOCHONDRAL GRAFT USING STEREOLITHOGRAPHIC MODEL | ||||
Egyptian Dental Journal | ||||
Article 13, Volume 62, Issue 1 - January (Oral Surgery), January 2016, Page 965-969 PDF (713.45 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/edj.2016.95230 | ||||
View on SCiNiTO | ||||
Authors | ||||
Abdullah Essam M. Al-Hady1; Ahmed Mokhtar El-Mardenly2; Mamdouh Sayed3; Mohamed Khalifa Zayet4; Khaled M. Abd El-Ghany5 | ||||
1B.D.S., M.Sc, (Cairo University) | ||||
2Professor of Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, Faculty of Oral and Dental Medicine, Cairo University | ||||
3Assistant Professor of Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, Faculty of Oral and Dental Medicine, Cairo University | ||||
4Assistant Professor of Oral and Maxillofacial Surgery, Oral Radiology Department, Faculty of Oral and Dental Medicine, Cairo University | ||||
5Assistant Professor, Head of Rapid Prototyping Department, Central Metallurgical Research and Development Institute, Ministry of Scientific Research and Technology | ||||
Abstract | ||||
Purpose: Immediate replacement of the mandibular condyle is sometime required when the mandibular condyle is involved in pathology. This study was designed to evaluate immediate replacement of the condyle using costochondral graft following disarticulation. Patients and Methods: This study included 11 patients, where costochondral graft was used for immediate condylar replacement following disarticulation, the condylar replacement articulated against the preserved disc. The follow up was 2 months. Assessment was conducted immediately postoperatively by radiographic examination and 2 months by direct questioning, and clinical observation. Results: Eleven patients suffered from benign and locally aggressive lesions of the mandibles were presented in this study, there were no complications in all patients, there was no open bite, normal range of mandibular opening, the occlusion and facial form was restored. Radiographic outcome showed normal position of the replaced condyle in the glenoid fossa. Conclusions: Immediate reconstruction of the condylar unit with costochondral graft is a viable technique combining ease of surgery and a high success rate. Keeping in mind this was the primary stage of reconstruction and the patient will pass the second stage constructing the body area by anterior iliac crest grafting via transcutaneous approach | ||||
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