Reconstruction of the Mandibular Condyle using a Costochondral Graft after Osteosynthesis in Fracture Dislocations

The treatment of mandibular condylar fractures is a controversial issue among surgeons. Complete resorption of the condylar process after a fracture treated surgically using internal fixation has been described in the literature. The present study of a 14 year-old female patient aims to describe a case of resorption of the mandibular condyle due to a condylar fracture with displacement, which had been previously treated by surgical reduction and osteosynthesis with steel sutures. Treatment consisted of a costochondral graft fixed with two 2.0 mm diameter screws that provided adequate long-term functional and aesthetic results.