<正>Temporo-Mandibular Joint and Lower Maxillofacial Reconstruction of Multiple Trauma Patient:the Case Presentation The aim of this presentation is to describe the reconstruction procedure of the multiple trauma patient including TMJ,facial bone and soft tissue due to traffic accident.This patient have had operation more than twenty times in plastic surgery department from 1998 to 2003.But result was poor due to the necrosis of graft tissues and the severe atrophy of TMJ.Because of this atrophy bilateral coronoidectomy and condylectomy were taken ultimately.Then this patient was transferred to the dentistry.Bilateral arthroplasty using a ear cartilage graft and mandible reconstruction using a iliac bone graft were taken in October 2003.And Bilateral distraction osteotomy was done on the both mandibular body in march 2004.In December 2006,we made 3D model from 3D CT and both condyle reconstruction with metal condyle was done.