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Costochondral graft with green-stick fracture used in reconstruction of the mandibular condyle : experience in 13 clinical cases

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Costochondral graft with green-stick fracture used in reconstruction of the mandibular condyle : experience in 13 clinical cases

dc.contributor.author	Villanueva Alcojol, Laura	es
dc.contributor.author	Monje Gil, Florencio	es
dc.contributor.author	González García, R.	es
dc.contributor.author	Moreno García, C.	es
dc.contributor.author	Serrano Gil, Herminia	es
dc.contributor.author	Maestre Rodríguez, Óscar	es
dc.contributor.author	Ruíz Laza, Luís	es
dc.contributor.author	Manzano Soto de Zaldívar, Damián	es
dc.contributor.author	Mateo Arias, J.	es
dc.date.accessioned	2017-09-07T10:56:44Z
dc.date.available	2017-09-07T10:56:44Z
dc.date.issued	2009	es
dc.identifier.citation	Villanueva Alcojol, Laura ; Monje Gil, Florencio ; González García, R. ; Moreno García, C. ; Serrano Gil, Herminia ; Maestre Rodríguez, Óscar ; Ruíz Laza, Luís ; Manzano Soto de Zaldívar, Damián ; Mateo Arias, J.. Costochondral graft with green-stick fracture used in reconstruction of the mandibular condyle : experience in 13 clinical cases. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 14 12 2009: 10-	es
dc.identifier.uri	http://hdl.handle.net/10550/60637
dc.description.abstract	Since its publication in 1920 by Gillies, costochondral grafts have been used by surgeons to replace an injured mandibular condyle and to reconstruct the temporomandibular joint. This procedure is currently applied in cases of congenital dysplasia, developmental defects, temporomandibular ankylosis, neoplastic disease, osteoarthritis and post-traumatic dysfunction. Over the years, various procedures for the reconstruction with this type of graft have been described. In 1989, Mosby and Hiatt described a technique for setting the graft securely, reducing the space between the graft and the mandibular area. In 1998, Monje and Martín-Granizo developed a variation of this method, enabling a precise adaptation of the costochondral graft to the remaining mandibular ramus. The aim of this study is to evaluate the functional and anatomic results of the costochondral graft treatment by green-stick fracture for reconstruction of the TMJ in the 10 years following the description of this technique. We carry out a retrospective study of thirteen cases of temporomandibular pathology (tumors, ankylosis and hypoplasia) treated during a period of ten years from 1998 to 2008. In all these cases, the technique described by Monje and MartínGranizo was used: removal of the sixth rib, fixation to a titanium mini-plate using screws, making an internal corticotomy in order to obtain a green-stick fracture of the outer cortex, providing adequate adaptation of the graft to the mandibular ramus. The graft was then set in place, attaching it with titanium screws. This technique was successful in achieving optimal ossification, a good interincisal opening and satisfactory cosmetic results. In conclusion, according to our experience, the green-stick fracture for the adaptation of costochondral grafts to the remaining mandibular ramus has presented outstanding results in the surgical treatment of temporomandibular pathology.	es
dc.title	Costochondral graft with green-stick fracture used in reconstruction of the mandibular condyle : experience in 13 clinical cases	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO::CIENCIAS MÉDICAS	es
dc.identifier.doi	10.4317/medoral.14.e663	es
dc.type.hasVersion	VoR	es_ES