Progressive Overgrowth of Costochondral Graft in a Case of Hemifacial Microsomia: A Rare and Severe Case.

Cleft Palate Craniofac JJun 4, 2026 (epub)
Case ReportPlastic Surgery

Lobredia Zarasade, Carolus Aldo Windura, Magda R Hutagalung et al.

✦ AI-curated · Sources linked

Case in brief

A 17-year-old male with hemifacial microsomia developed progressive overgrowth of a costochondral graft used to reconstruct the mandibular condyle. Despite previous corrective surgeries, he had severe facial asymmetry, a 2.5 cm ramus discrepancy, and marked mandibular deviation. Management involved staged correction with graft excision, osteotomies, and genioplasty.

What made this case unusual

The graft continued to overgrow beyond skeletal maturity, producing severe asymmetry despite prior corrective surgery.

Diagnostic / clinical pearl

Costochondral graft growth can be unpredictable; progressive facial asymmetry after reconstruction warrants assessment for graft overgrowth.

Why it matters

The case highlights the need for long-term surveillance and individualized planning after costochondral graft reconstruction.

Source

PubMed · PMID 42237857

Published in Cleft Palate Craniofac J. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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