3DCT revealed obliterated left joint space elongated coronoid process, reduced ramal height and prominent antegonial notch. The case was diagnosed as hypoplastic ramus on left side with developing secondary facial deformity. Maxillofacial Surgeon Dr. S. M. Balaji successfully performed left condylar component reconstruction using 7th costochondral rib graft (CCG).
Postoperative mouth opening was adequate. Over 6 years follow up; CCG was favorable where it acts as a growth centre to induce bone growth and thus facial asymmetry was corrected without any visible scars on her face.