Mandibular condyle and infratemporal fossa reconstruction using vascularized costochondral and calvarial bone grafts
장효원, 김남규, 이원상, 김형준, 차인호, 남웅,
소속 상세정보
장효원 ( Jang Hyo-Won ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
김남규 ( Kim Nam-Kyoo ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
이원상 ( Lee Won-Sang ) - Yonsei University College of Medicine Department of Otorhinolaryngology
김형준 ( Kim Hyung-Jun ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
차인호 ( Cha In-Ho ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
남웅 ( Nam Woong ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 0355620140400020083
Abstract
There are some difficulties in approaching and removing the lesion in infratemporal fossa because of its anatomical location. After wide excision of tumor lesion, it is also difficult for reconstruction of mandibular condyle and cranium base on infratemporal fossa. Besides, there are some possibilities of cerebrospinal fluid leakage, intracranial infection and bone resorption. It is also challenging for functional reconstruction that allows normal mandibular movement, preventing mandibular condyle from invaginating into the skull. In this report, we present 14-month follow-up results of a patient who had undergone posterior segmental mandibulectomy including condyle and infratemporal calvarial bone and mandible reconstruction with free vascularized costochondral rib and calvarial bone graft to restoration of the temporomandibular joint area.
키워드
Reconstructive surgical procedures;Free tissue flaps;Temporomandibular joint;Bone transplantation
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