Reconstruction of ankylosed temporomandibular joint: Sternoclavicular grafting as an approach to management

Autogenous grafts for condylar reconstruction in treatment of TMJ ankylosis: current concepts and considerations for the future

“…Its absence is also of no great anatomical, functional, or aesthetic consequence 77 . Complete regeneration of the clavicle at the donor site has also been reported, significantly reducing patient morbidity postoperatively 75 . Authors observed an improved fit, especially when only the superior half of the clavicle was used, particularly if the graft was placed on the posterior border of the mandible, and there was easier vascularisation because of the direct exposure of the medullary bone of the graft to adjacent soft tissues 96 .…”

Ramus Condyle Unit Reconstruction Using Vertical Ramus Osteotomy in Temporomandibular Joint Ankylosis

“…Sternoclavicular grafts have seen a revival recently because they have similar properties to CCG, but they produce a prominent scar which can be a disadvantage [4]. This disadvantage has led us to search for another solution for treatment of TMJ Ankylosis.…”

“…Preservation of this joint or construction of an artificial one that functions properly is of prime importance [3,4]. Several methods have been used for the treatment of TMJ Ankylosis including release of the ankylosis and creation of a gap with or without insertion of interposing material and complete reconstruction of the joint and correction of jaw deformities.…”

“…Several autologous bone grafts are used to reconstruct the ramus-condyle unit (RCU) including metatarsal head, costochondral, sternoclavicular, iliac crest, clavicular bone grafts etc. [3][4][5]. Resected elongated coronoid process and excised ankylotic mass have also been tried [6].…”

Ankylose temporo-mandibulaire : résultats du traitement après résection interruptrice

“…La résection interruptrice du bloc d'ankylose est en outre une méthode simple rapide. Contrairement à ce que l'on peut rencontrer avec les autres méthodes, elle est dénuée de morbidité sur le site donneur du greffon biologique, de réaction à corps étranger dû à un matériau non biologique ou du potentiel de croissance imprévisible du greffon chondro-costal [9,10]. Cependant, l'espace créé par la résection du bloc d'ankylose pourrait constituer un facteur favorisant les récidives de l'ankylose dont le taux peut atteindre 53 % [11].…”