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Fate of Costochondral Graft in Temporomandibular Joint Reconstruction: A Histological Study

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Abstract

Objective

To asses the fate of the costochondral graft (CCG) used to stimulate mandibular growth in the management of Temporomandibular joint (TMJ) reconsrtuction in ankylosis—histologically.

Materials and Methods

Ten patients who had undergone CCG grafting for TMJ ankylosis between 1994–2009 in the department of Oral & Maxillofacial Surgery, Tamil Nadu Govt Dental College and Hospital, Chennai and had come back with reankylosis, were surgically explored and the graft along with the ankylotic mass was excised and evaluated histologically. There is no documented human study and clinically it is not possible.

Results

Histological evaluation revealed the presence of osseous tissue, fibrous tissue and osteocytes but no evidence of any chondroid tissue.

Conclusion

Our study showing the absence of chondroid tissue raises the question on the rationale of CCG in TMJ reconstruction when other interpositional gap arthroplasty can achieve a disease free joint.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Tamil Nadu Government Dental College and Hospital, Flat No 243, Greater Pearl, 174 Choolaimedu High Road, Chennai, 600094, India

    C. Prasad, G. Uma Maheswari & D. Karthikeyan

Authors
  1. C. Prasad
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  2. G. Uma Maheswari
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  3. D. Karthikeyan
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Correspondence to C. Prasad.

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Prasad, C., Uma Maheswari, G. & Karthikeyan, D. Fate of Costochondral Graft in Temporomandibular Joint Reconstruction: A Histological Study. J. Maxillofac. Oral Surg. 15, 179–183 (2016). https://doi.org/10.1007/s12663-015-0823-0

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  • DOI: https://doi.org/10.1007/s12663-015-0823-0

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