자가장골 및 늑연골의 복합이식을 통한 하악골 재건술 = Reconstruction of mandibular defect with composite autogenous iliac bone and costochondral grafts

다국어 초록 (Multilingual Abstract)

Loss of mandibular continuity due to neoplasm, trauma, or infection results in major esthetic and biologic compromise. The use of costochondral grafts for reconstruction of temporomandibular joint, described first by Gillies in 1920 has been accepted as a suitable method for replacing the mandibular condyle, especially in growing children. Autogenous iliac bone graft has been a satisfactory source of mandibular reconstrucion since Sykoffs report in 1900. Autogenous bone grafts the posterior aspects of the ilium provide large amount of PMCB with acceptable donor site morbidity. In timing of reconstruction, initial disease, age, medical history, growth and development esthetic and psychlogic factors. should be considered. We present a case of osteosarcoma in the mandible that was treated by a hemimandibulectomy and the defect was reconstructed 20 months later with composite method of costochondral and posterior iliac bone graft.