Replacement of the pathological temporomandibular articular disc using autogenous cartilage of the external ear

The technique and results of replacement of the articular disc by autogenous aural cartilage are presented. Out of 7 patients operated with a follow-up longer than 6 months, 5 have markedly improved. The cartilage seems to remain vital. It is concluded that this procedure may be indicated in patients with dysfunction and/or apparent damage of the disc. However, it is difficult in some cases to base the indication on more than circumstantial evidence.