In:
Otolaryngology–Head and Neck Surgery, Wiley, Vol. 149, No. 3 ( 2013-09), p. 372-376
Kurzfassung:
To describe pediatric costochondral graft reconstruction of the absent mandibular condyle and to report the short‐term and long‐term outcomes and complications associated with performing this procedure in young children. Study Design Case series with a retrospective chart review. Setting Pediatric otolaryngology clinic and tertiary children's hospital in a metropolitan area. Subjects and Methods All children treated for an absent mandibular condyle with a costochondral graft at Children's Hospitals and Clinics of Minnesota were identified from 2002 through 2011, and a retrospective chart review was performed. Results Ten patients aged 3 to 11 years were identified. The most common diagnosis, in 8 of 10 patients, was oculo‐auriculo‐vertebral syndrome. Three of the patients had a tracheostomy, of which 1 was decannulated following condylar reconstruction. Functional improvement, defined as improved symmetry, chewing, or better oral opening, was observed in 8 of 10 patients. Five patients have required no further surgeries to date, with a mean follow‐up time of 3.9 years. Severe overgrowth of the graft was noted in 1 case, and partial or complete resorption of the graft was also noted in 3 cases. Overgrowth occurred after 5.7 years, whereas resorption occurred after an average of 2.5 years. Conclusions Costochondral grafts are an excellent surgical treatment option for children with severe mandibular malformations. Short‐term results show particular improvement in function and mandibular alignment. The mean follow‐up time with no revision surgery was substantial and indicates that rib grafting is a good addition to the armamentarium of treatment for this patient population.
Materialart:
Online-Ressource
ISSN:
0194-5998
,
1097-6817
DOI:
10.1177/0194599813486615
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2013
ZDB Id:
2008453-5
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