| Title | Vertical distraction osteogenesis of fibula transplants for mandibular reconstruction--a preliminary study. | | Author(s) | Klesper B, Lazar F, Siessegger M, Hidding J, Zöller JE | | Institution | Department of Maxillo-Facial Surgery, Universität zu Köln, Köln, Germany. | | Source | J Craniomaxillofac Surg 2002 Oct; 30(5):280-5. | | MeSH | Adolescent
Adult
Aged
Alveolar Ridge Augmentation
Bone Transplantation
Carcinoma, Squamous Cell
Dental Implantation, Endosseous
Female
Fibula
Humans
Male
Mandible
Mandibular Neoplasms
Middle Aged
Osteogenesis, Distraction
Pilot Projects
Vertical Dimension
| | Abstract | INTRODUCTION: When reconstructing the mandible after tumour resection with a fibular graft, the mandible is often vertically deficient, making placement of dental implants impossible.
PATIENTS: Segmental vertical distraction of the reconstructed mandible was performed in nine patients following tumour surgery between February 1998 and 2001. Their age was 14-65 years (average 46.3); all underwent radiotherapy with a dose of up to 55.6 Gy prior to tumour resection. Mandibular discontinuity was repaired with a microvascular fibular bone graft. All grafts had a vertical bone deficit ranging from 9 to 12 mm when compared with the non-resected part of the mandibles.
METHODS: All patients underwent segmental vertical distraction of the transplants. The distraction devices were applied intraorally. Distraction of 1.0 mm/day was performed using a Martin distractor (TRACK 1.5) followed by 12 weeks retention time.
RESULTS: The increase of vertical bone height was stable and enabled placement of dental implants without any complications.
CONCLUSION: Vertical distraction osteogenesis may become a common procedure in the treatment of alveolar ridge deficiency resulting from transplanting fibulae for mandibular reconstruction following tumour surgery. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 12377200 |
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