The Effect of Autogenous Costochondral Grafts on Temporomandibular Joint Fibrous and Bony Ankylosis: A Preliminary Experimental Study

The purpose of this study was to test the functional and histologic fate of costochondral grafts (CG) in temporomandibular joint (TMJ) reconstruction for unilateral ankylosis in the sheep. Five pure-bred adult Merino sheep were used. Ankylosis was induced by articular damage, disc removal, and place...

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Veröffentlicht in:Journal of oral and maxillofacial surgery 2006-10, Vol.64 (10), p.1517-1525
Hauptverfasser: Matsuura, Hiroaki, Miyamoto, Hizuru, Kurita, Kenichi, Goss, Alastair N.
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container_end_page 1525
container_issue 10
container_start_page 1517
container_title Journal of oral and maxillofacial surgery
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creator Matsuura, Hiroaki
Miyamoto, Hizuru
Kurita, Kenichi
Goss, Alastair N.
description The purpose of this study was to test the functional and histologic fate of costochondral grafts (CG) in temporomandibular joint (TMJ) reconstruction for unilateral ankylosis in the sheep. Five pure-bred adult Merino sheep were used. Ankylosis was induced by articular damage, disc removal, and placement of a bone graft. At 3 months, a gap arthroplasty was performed with a CG from the thirteenth rib. The sheep were sacrificed 3 months after CG reconstruction. The range of jaw movements were recorded at first operation, at lysis of ankylosis, and at sacrifice. The joints were examined radiologically, macroscopically, and histologically. All sheep showed a decrease in masticatory function, as shown by weight loss and decreased jaw opening, during the ankylosis period. On release, they regained weight and increased the range of jaw movement. Histologically, the joint space was filled with fibrous tissue. However, the partial spaces around the CG head were covered by fibrous tissue and/or fibrous cartilage. This study shows that, when CGs are used with a gap arthroplasty in a fibrous and bony ankylosed TMJ, masticatory function is restored.
doi_str_mv 10.1016/j.joms.2006.06.256
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Five pure-bred adult Merino sheep were used. Ankylosis was induced by articular damage, disc removal, and placement of a bone graft. At 3 months, a gap arthroplasty was performed with a CG from the thirteenth rib. The sheep were sacrificed 3 months after CG reconstruction. The range of jaw movements were recorded at first operation, at lysis of ankylosis, and at sacrifice. The joints were examined radiologically, macroscopically, and histologically. All sheep showed a decrease in masticatory function, as shown by weight loss and decreased jaw opening, during the ankylosis period. On release, they regained weight and increased the range of jaw movement. Histologically, the joint space was filled with fibrous tissue. However, the partial spaces around the CG head were covered by fibrous tissue and/or fibrous cartilage. 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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Analysis of Variance
Animals
Ankylosis - surgery
Arthroplasty - methods
Biological and medical sciences
Bone Transplantation - methods
Cartilage - transplantation
Dentistry
Diseases of the osteoarticular system
Mastication
Medical sciences
Miscellaneous. Osteoarticular involvement in other diseases
Otorhinolaryngology. Stomatology
Radiography
Range of Motion, Articular
Recovery of Function
Ribs - transplantation
Sheep, Domestic
Temporomandibular Joint - diagnostic imaging
Temporomandibular Joint - surgery
Temporomandibular Joint Disorders - surgery
title The Effect of Autogenous Costochondral Grafts on Temporomandibular Joint Fibrous and Bony Ankylosis: A Preliminary Experimental Study
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