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Reconstruction of a Post Traumatic Anterior Maxillary Defect by Transport Distraction Osteogenesis

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Rehabilitation of segmental defects of maxilla presents a reconstructive challenge to obtain an ideal osseous form and height with adequate soft tissue investment. Though variety of prosthetic and surgical reconstructive options like the use of vascularized and non vascularized bone grafts are available they produce less than optimal results. Bone transport distraction is a reliable procedure in various maxillofacial bony defect reconstruction techniques. We describe herein a technique of maxillary bone transport distraction using an indigenously designed, custom made trifocal transport distractor performed in a post traumatic avulsive defect of the anterior maxilla. Transport distraction was successful for anterior maxillary alveolar bony regeneration, with excellent soft tissue cover and vestibular depth, which also helped close an oroantral/oronasal fistula.

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References

  1. Liou EJW, Chen PKT (2009) Intraoral distraction of segmental osteotomies and miniscrews in management of alveolar cleft. Semin Orthod 15:257–267

    Article  Google Scholar 

  2. Zemann W, Pichelmayer M (2011) Maxillary segmental distraction in children with unilateral clefts of lip, palate, and alveolus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 111:688–692

    Article  PubMed  Google Scholar 

  3. Schliephake H, Dard M, Planck H, Hierlemann H, Stern U (2000) Alveolar ridge repair using resorbable membranes and autogenous bone particles with simultaneous placement of implant: an experimental pilot study in dogs. Int J Oral Maxillofac Implants 15:364–373

    CAS  PubMed  Google Scholar 

  4. Fukuda M, Takahashi T, Nagai H et al (2004) Implant-supported edentulous maxillary obturators with milled bar attachments after maxillectomy. J Oral Maxillofac Surg 62:799–805

    Article  PubMed  Google Scholar 

  5. Neelakandan RS, Bhargava D (2011) Transport distraction along the mandibular midline: conceptual analysis. Int J Stomatol Occlusion Med 4:123–126

    Article  Google Scholar 

  6. Cheung LK, Zhang Q, Zhang ZG et al (2003) Reconstruction of maxillectomy defect by transport distraction osteogenesis. Int J Oral Maxillofac Surg 32:515–522

    Article  CAS  PubMed  Google Scholar 

  7. Niu XG, Han XX (2008) Evaluation of a new semiburied curvilinear distraction device in dogs. Br J Oral Maxillofac Surg 46:61–63

    Article  PubMed  Google Scholar 

  8. Neelakandan RS, Mathew PC (2009) Intraoral maxillary transport distraction: a case report. J Oral Maxillofac Surg 67:1751–1755

    Article  PubMed  Google Scholar 

  9. Baek SH, Kim NY, Paeng JY, Kim MJ (2008) Trifocal distraction compression osteosynthesis in conjunction with passive selfligating brackets for the reconstruction of a large bony defect and multiple missing teeth. Am J Orthod Dentofacial Orthop 133:601–611

    Article  PubMed  Google Scholar 

  10. Feng Y, Fang B, Shen G, Xia Y, Lou XT (2010) Reconstruction of partial maxillary defect with intraoral distraction osteogenesis assisted by miniscrew implant anchorages. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110:e1–e7

    Article  Google Scholar 

  11. Heffez LB, Kirton M (2005) Vector control in transportation osteogenesis. J Oral Maxillofac Surg 63:737–746

    Article  PubMed  Google Scholar 

  12. Robiony M, Toro C, Suzanne U, Stucki-McCormick S, Zerman N, Costa F, Politi M (2004) The “FAD” (Floating Alveolar Device): a bidirectional distraction system for distraction osteogenesis of the alveolar process. J Oral Maxillofac Surg 62(Suppl 2):136–142

    Article  PubMed  Google Scholar 

  13. Li J, Ying B, Hu J, Zhu S, Braun TW (2006) Reconstruction of mandibular symphyseal defects by trifocal distraction osteogenesis: an experimental study in Rhesus. Int J Oral Maxillofac Surg 35:159–164

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. 15 Corps Dental Unit, c/o 56 APO, Srinagar, India

    K. Rajkumar

  2. Department of Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College, Chennai, Tamil Nadu, India

    R. S. Neelakandan & Pradeep Devadoss

  3. CMDC (SC), Pune, India

    T. K. Bandyopadhyay

Authors
  1. K. Rajkumar
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  2. R. S. Neelakandan
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  3. Pradeep Devadoss
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  4. T. K. Bandyopadhyay
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Correspondence to K. Rajkumar.

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Rajkumar, K., Neelakandan, R.S., Devadoss, P. et al. Reconstruction of a Post Traumatic Anterior Maxillary Defect by Transport Distraction Osteogenesis. J. Maxillofac. Oral Surg. 16, 118–122 (2017). https://doi.org/10.1007/s12663-015-0861-7

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  • DOI: https://doi.org/10.1007/s12663-015-0861-7

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