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KMID : 0355620140400020083
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2014 Volume.40 No. 2 p.83 ~ p.86
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Mandibular condyle and infratemporal fossa reconstruction using vascularized costochondral and calvarial bone grafts
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Jang Hyo-Won
Kim Nam-Kyoo
Lee Won-Sang
Kim Hyung-Jun
Cha In-Ho
Nam Woong
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Abstract
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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.
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KEYWORD
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Reconstructive surgical procedures, Free tissue flaps, Temporomandibular joint, Bone transplantation
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