Maxillofac Plast Reconstr Surg.  2014 Jul;36(4):135-139.

Comparison of Costochondral Graft and Customized Total Joint Reconstruction for Treatments of Temporomandibular Joint Replacement

• Lee WY
• Park YW
• Kim SG

Abstract

PURPOSE
We review published research on temporomandibular joint (TMJ) total replacement that compares costochondral graft and customized total joint reconstruction (especially TMJ concepts), focusing on effectiveness.
METHODS
We searched PubMed databases, including prospective, retrospective, case-control or longitudinal studies and significant statistical analysis. In data analysis, we divided outcomes into 'Acceptable' or 'Non-acceptable'.
RESULTS
There were seven articles found dealing with costochondral graft and 180 patients. The majority of patients had satisfactory treatment outcomes (n=109, 61%). There were six articles including 275 patients using the alloplastic material TMJ concepts. Almost all patients had satisfactory treatment outcomes (n=261, 95%).
CONCLUSION
Comparing customized total joint reconstruction with costochondral graft, use of TMJ concepts resulted in increased quality of life and fewer complications. In conclusion, we judged that alloplastic material such as TMJ concepts is more effective device in total joint replacement than costochondral graft.

Keyword

Temporomandibular joint disorders; Joint prosthesis; Autograft

MeSH Terms

Autografts
Case-Control Studies
Humans
Joint Prosthesis
Joints*
Longitudinal Studies
Quality of Life
Statistics as Topic
Temporomandibular Joint Disorders
Temporomandibular Joint*
Transplants*