Rib Reconstruction of Absent Mandibular Condyles in Children

Autor: Daniel E. Sampson, Derek Goerke, Robert J. Tibesar, James D. Sidman
Rok vydání: 2012
Předmět:
Zdroj: Otolaryngology–Head and Neck Surgery. 147
ISSN: 1097-6817
0194-5998
DOI: 10.1177/0194599812451426a355
Popis: Objective: 1) Describe pediatric costochondral graft reconstruction of the absent mandibular condyle. 2) Report the short-term and long-term outcomes and complications associated with performing this procedure in young children.Method: All children treated for an absent mandibular condyle with a costochondral graft from 2002 to 2011 at Children’s Hospitals and Clinics of Minnesota were identified and a retrospective chart review was performed. Outpatient charts, hospital records, and operative reports were reviewed.Results: Ten patients aged 3 to 11 years old were identified. The most common diagnosis in 7 out of 10 patients was oculo-auriculo-vertebral syndrome. Three of the patients had a tracheostomy, of which one was decannulated following condylar reconstruction. Functional improvement, defined as improved symmetry, chewing, or better oral opening, was observed in 8 out of 10 patients. Five patients have required no further surgeries to date, with a mean follow-up time of 3.9 years. Severe overgrowth...
Databáze: OpenAIRE