Maw. Merkx et Hpm. Freihofer, FRACTURE OF COSTOCHONDRAL GRAFT IN TEMPOROMANDIBULAR-JOINT RECONSTRUCTIVE SURGERY - AN UNEXPECTED COMPLICATION, International journal of oral and maxillofacial surgery, 24(2), 1995, pp. 142-144
The case of a 35-year-old woman with a history of several temporomandi
bular joint (TMJ) operations, including condylectomy, is reported. She
presented with myofacial pain and partial fibrous ankylosis of her ri
ght TMJ. The ankylosis was released and an autogenous costochondral gr
aft was used to restore the vertical dimension of the ramus. About 3 m
onths after surgery, a fracture of the graft occurred during physical
therapy. The cause of this complication is discussed with reference to
the literature.