Clinical study of condylectomy and reconstruction of temporomandibular joint with an intraoral approach

Objective To evaluate the feasibility of the condylectomy and the reconstruction of temporomandibular joint with an intraoral approach.Methods From 1998 to 2006,the condylectomy and the reconstruction of temporomandibular joint were performed with an intraoral approach in 23 cases.There were 2 cases of condylar hyperplasia,6 cases of hemimandibular hyperplasia,13 cases of condylar osteochondroma and 2 cases of secondary condylar fracture in our series.Orthognathic surgical procedures were performed simultaneously in 21 cases to correct their facial asymmetry.Results The postoperative process of all patients was uneventful.Their facial asymmetry was obviously corrected.There were no patients suffered permanent facial never damage in postoperative period.After operation,Mouth opening was more than 35mm in all patients.There were no reoccurrence of ocndylar lesions in our series.Conclusion The condylectomy and the reconstruction of temporomandibular joint can be successfully performed with an intraoral approach.