关键词: 下颌髁突, 重建, 关节内窥镜, 肋骨-软骨移植

Abstract:

Objective This is a preliminary study of the endoscopic technique on open surgery. The purpose of this study is to introduce the use of endoscopic technique for the reconstruction of the condyle with costochondral graft through a preauricular incision. Methods 33 patients of temporomandibular joint diseases（n =49） under - went reconstruction of mandibular condyle with costochondral graft. After preparation of the recipient site through a preauricular incision, maxillo-mandibular fixation, and preparation of the costochondral graft, the graft was fixed to the lateral side of the mandible ramus under the supervision of arthroscope. Results All the patients had successful reconstruction of the condyle with costochondral graft without any severe bleeding or craniocerebral injury. Conclusion This case series demonstrates the feasibility of endoscopic technique for the reconstruction of the condyle through a preauricular incision. It has the advantage of high efficiency, minimal postoperative morbidity, great patient comfort, and little appearance impairment. The endoscopic technique has a promising future.

Key words: mandibular condyle, reconstruction, arthroscope, costochondral graft