Department of Plastic and Reconstructive Surgery, Hanoi Medical University, Hanoi, Vietnam.
Division of Oral and Maxillofacial Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
J Craniofac Surg. 2021;32(5):e477-e479. doi: 10.1097/SCS.0000000000007464.
Mandibular condyle osteochondromas cause morphologic and functional disturbances. Multiple options exist for reconstructing the condylar segment following complete condylectomy. In this series, we describe 3 cases of mandibular condyle osteochondroma treated with complete condylectomy, orthognathic surgery, and a novel free ramus osteotomy graft. This is the first report to reconstruct the temporomandibular joint using a free ramus graft. Through this single-staged approach we were able to avoid recurrence, preserve function, and restore facial balance without a separate donor site or an alloplastic implant.
下颌骨髁突骨软骨瘤会引起形态和功能的紊乱。在完全切除髁突后，有多种选择可用于重建髁突段。在本系列中，我们描述了 3 例下颌骨髁突骨软骨瘤患者，采用完全切除髁突、正颌手术和新型游离支骨切开移植术进行治疗。这是首例使用游离支移植重建颞下颌关节的报道。通过这种单阶段方法，我们能够避免复发，保留功能，并在不使用单独供体部位或异体植入物的情况下恢复面部平衡。
