Supraperiosteal Transport Distraction Osteogenesis for Reconstructing a Segmental Defect of the Mandible
Supraperiosteal Transport Distraction Osteogenesis for Reconstructing a Segmental Defect of the Mandible
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DOI：
10.1016/j.joms.2010.07.059
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发表时间：
2011-03-01
影响因子：
1.9
通讯作者：
Ueda, Minoru
中科院分区：
文献类型：
--
作者：
Hibi, Hideharu;Ueda, Minoru
介绍了利用骨膜最大成骨潜力的牵张成骨术，并在2例临床病例中得到证实。该技术包括最大限度地减少转移节段上骨膜的切口和反射;重新定位和固定切割的骨膜以覆盖截骨线，该截骨线成为牵引间隙;以及在骨膜上固定内部牵引装置。这些病例涉及由于复发性成釉细胞瘤导致的下颌骨节段性缺损的重建。通过两步和双侧牵张成骨分别重建51 + 58-mm的后体和升支以及41 + 33-mm的前体。这些病例证实了骨膜上转移牵张成骨概念的可行性。(C)2011年美国口腔颌面外科医师协会J Oral Maxillofac Surg 69：742-746，2011年
Distraction osteogenesis using the maximal osteogenic potential of the periosteum is introduced and demonstrated in 2 clinical cases. This technique includes minimizing cuts to and reflection of the periosteum on a transport segment; repositioning and suturing the cut periosteum to cover an osteotomy line, which becomes the distraction gap; and fixing an internal distraction device supraperiosteally. The cases involve reconstruction of a segmental defect of the mandible due to a recurrent ameloblastoma. A 51 + 58-mm posterior body and ramus and a 41 + 33-mm anterior body are reconstructed through 2-step and bilateral distraction osteogenesis, respectively. These cases proved the feasibility of the concept of the supraperiosteal transport distraction osteogenesis. (C) 2011 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 69:742-746, 2011