Mandibular condyle and infratemporal fossa reconstruction using vascularized costochondral and calvarial bone grafts.
10.5125/jkaoms.2014.40.2.83
- Author:
Hyo Won JANG
1
;
Nam Kyoo KIM
;
Won Sang LEE
;
Hyung Jun KIM
;
In Ho CHA
;
Woong NAM
Author Information
1. Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea. omsnam@yuhs.ac
- Publication Type:Case Report
- Keywords:
Reconstructive surgical procedures;
Free tissue flaps;
Temporomandibular joint;
Bone transplantation
- MeSH:
Bone Resorption;
Bone Transplantation;
Cerebrospinal Fluid;
Follow-Up Studies;
Free Tissue Flaps;
Humans;
Mandible;
Mandibular Condyle*;
Mandibular Osteotomy;
Reconstructive Surgical Procedures;
Ribs;
Skull;
Temporomandibular Joint;
Transplants*
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2014;40(2):83-86
- CountryRepublic of Korea
- Language:English
-
Abstract:
There are some difficulties in approaching and removing the lesion in infratemporal fossa because of its anatomical location. After wide excision of tumor lesion, it is also difficult for reconstruction of mandibular condyle and cranium base on infratemporal fossa. Besides, there are some possibilities of cerebrospinal fluid leakage, intracranial infection and bone resorption. It is also challenging for functional reconstruction that allows normal mandibular movement, preventing mandibular condyle from invaginating into the skull. In this report, we present 14-month follow-up results of a patient who had undergone posterior segmental mandibulectomy including condyle and infratemporal calvarial bone and mandible reconstruction with free vascularized costochondral rib and calvarial bone graft to restoration of the temporomandibular joint area.
