| Title | Vertical distraction osteogenesis of fibular free flap in mandibular prosthetic rehabilitation: a case report. | | Author(s) | Marchetti C, Degidi M, Scarano A, Piattelli A | | Institution | Department of Maxillofacial Surgery, Bufalini Hospital, Cesena, FO, Italy. | | Source | Int J Periodontics Restorative Dent 2002 Jun; 22(3):251-7. | | MeSH | Adolescent
Alveolar Ridge Augmentation
Bone Transplantation
Dental Implantation, Endosseous
Fibula
Humans
Male
Mandible
Mandibular Neoplasms
Osteogenesis, Distraction
Research Support, Non-U.S. Gov't
Sarcoma, Ewing's
Surgical Flaps
Vertical Dimension
| | Abstract | A 17-year-old boy underwent three cycles of chemotherapy and a subsequent mandibular resection for a Ewing's sarcoma of the left body and ramus. The mandible was immediately reconstructed with a microvascular osteomuscular fibular flap. One year after the mandibular reconstruction, distraction osteogenesis of the anterior portion of the fibula was performed using a Martin distractor according to the Hoffmeister technique. Bone lengthening was achieved at a rate of 1 mm/day by turning the device twice each day for 12 days. Subsequently, we waited for 70 days for bone consolidation to occur. After 6 additional weeks, five Maestro implants were placed into the distracted fibula. Bone specimens were retrieved with a trephine bur during implant placement. Mature bone was present after 70 days and after 6 months. The bone height increase was 12 mm. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 12186347 |
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