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Costochondral graft for the ankylosed themporomandibular joint

Trismus and disharmony of facial growth were the usual results of injury to the mandibular condyle in growing children. Early replacement of ankylosed condyle with a costochondral joint was recommended as best approach to management of such problems. A detailed review of the literature supports the principle that cartilagenous growth site was responsible for the growth and maturation of facial skeleton. A case of true bony ankylosis of the TMJ was treated by condylectomy and autogenous costochondral grafting. Results were encouraging functionally and esthetically, but continued observation of this patient is necessary to evaluate the growth of transplanted graft.