Second metatarsal free transfer in total temporomandibular joint reconstruction for ankylosis in a child: 10-year follow-up

The management of temporomandibular joint (TMJ) ankylosis requires complete removal the ankylosed block and prevention recurrence. For this purpose, ramus–condyle unit can be reconstructed with a second metatarsal free flap. This article reports use flap in young patient treated for left TMJ ankylosis, post costochondral graft treatment hemifacial microsomia. Data from 10-year follow-up are reported. glenoid fossa was base, enabling juxtaposition two cartilaginous surfaces, aim optimizing functional result preventing recurrence ankylosis. At after surgery, there no articular disorder, morphological satisfactory. Bone fixation stable over period head still place. Quantitative measurements obtained by computed tomography scan did not show any growth compared to right unaffected condylar process.