유리 늑골-늑연골 복합이식술을 이용한 하악지 및 하악과두 재건

An xperience with a free vascularized myo-osteochonral rib graft for mandibular reconstruction

Various surgical technique have been used for the reconstruction of temporomandibular joint. During the past several years, conventional(nonvascularized) costochondral bone graft has been employed most successfully because of its anatomical similarity and functional capabilities of the condyle and costal cartilage. But the conventional costochondral bone graft has limitation in poor recipient site combined with large soft tissue and bone defect. With the advent of microsurgery, vascularized bone graft has proven invaluable. In this report of a case, we discuss the surgical technique and anatomy of free vascularized myoosteochondral rib graft. The result confirms that it is a successful and sound method for reconstruction of temporomandibular joint.