{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T19:03:45Z","timestamp":1780599825179,"version":"3.54.1"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,7,21]],"date-time":"2016-07-21T00:00:00Z","timestamp":1469059200000},"content-version":"vor","delay-in-days":202,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Costochondral grafts are used to replace the mandibular condyle in cases of TMJ ankylosis, and are generally viewed as a gold standard for autogenous reconstruction of the mandibular condyle (G\u00fcven, 2000; Posnick and Goldstein, 1993 [1,2]). We report a case where overgrowth of costochondral grafts is seen, resulting in asymmetric mandibular growth and dentofacial asymmetry (Posnick and Goldstein, 1993 [2]).<\/jats:p>\n                    <jats:p>A 17 year old male patient presented with an existing costochondral graft performed due to TMJ ankylosis during childhood. He fell from a height at the age of 4, and was lost to follow up through non-attendance until the age of 9, when he presented with a progressive reduction in maximal incisal opening (MIO).<\/jats:p>\n                    <jats:p>At this stage his maximal incisal opening was noted to be 11 mm, and the CT showed a grossly deformed ankylosed left TMJ. This post traumatic ankyloses was managed with gap arthroplasty and costochondral graft reconstruction. This immediately improved his MIO to 22 mm and at 1 year follow up was noted to be 30 mm.<\/jats:p>\n                    <jats:p>At age 12 he was noted to have a clinically obvious overgrowth of the left ramus of the mandible, and deviation of the chin point to the right. MIO remained at 38 mm.<\/jats:p>\n                    <jats:p>He declined orthognathic surgery and represented 2 years later requesting treatment without orthodontic intervention for his facial asymmetry. He subsequently underwent a Le Fort 1 impaction osteotomy, right BSSO and left condylar ostectomy, coronoidectomy and left lower border mandibulectomy. Regrowth of the CCG occurred during the 6 months of follow up.<\/jats:p>\n                    <jats:p>This case illustrates the problems that can occur after condylar trauma. It also highlights issues with costochondral grafts which can continue to grow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2016.07.023","type":"journal-article","created":{"date-parts":[[2016,7,26]],"date-time":"2016-07-26T08:12:58Z","timestamp":1469520778000},"page":"93-95","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Management of facial asymmetry due to overgrowing costochondral graft"],"prefix":"10.1097","volume":"26","author":[{"given":"Arif","family":"Razzak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabeela","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Sidebottom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-25-20260114","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/S0385-8146(99)00045-0","article-title":"A clinical study on temporomandibular joint ankylosis","volume":"27","author":"G\u00fcven","year":"2000","journal-title":"Auris Nasus Larynx"},{"key":"R2-25-20260114","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1097\/00006534-199304001-00006","article-title":"Surgical management of temporomandibular joint ankylosis in the pediatric population","volume":"91","author":"Posnick","year":"1993","journal-title":"Plast. Reconstr. Surg"},{"key":"R3-25-20260114","first-page":"8","article-title":"Costochondral graft as interpositional material for TMJ ankylosis in children: a clinical study. J. Maxillofac.","volume":"1-","author":"Sharma","year":"2014","journal-title":"Oral Surg"},{"key":"R4-25-20260114","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.jobcr.2015.06.007","article-title":"Do costochondral grafts have any growth potential in temporomandibular joint surgery? A systematic review","volume":"5","author":"Kumar","year":"2015","journal-title":"J. Oral Biol. Craniofac. Res"},{"key":"R5-25-20260114","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1016\/j.jcms.2015.03.041","article-title":"Overgrowth of costochondral grafts in craniomaxillofacial reconstruction: rare complication and literature review","volume":"43","author":"Yang","year":"2015","journal-title":"J. Craniomaxillofac. Surg"},{"key":"R6-25-20260114","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/S0901-5027(05)80484-9","article-title":"Overgrowth of a costochondral graft in an adult male","volume":"24","author":"Sarnman","year":"1995","journal-title":"Int. J. Oral Maxillofac. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261216302619?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261216302619?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201626000-00025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:18:01Z","timestamp":1768396681000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201626000-00025"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2016,1]]},"references-count":6,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2016.07.023","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2016,1]]}}}