Stable vertical distraction osteogenesis of highly atrophic mandibles after ablative tumour surgery of the oral cavity--a salvage pathway for mandibular reconstruction prior to oral rehabilitation with dental implants

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Stable vertical distraction osteogenesis of highly atrophic mandibles after ablative tumour surgery of the oral cavity--a salvage pathway for mandibular reconstruction prior to oral rehabilitation with dental implants. / Adolphs, Nicolai; Sproll, Christoph; Raguse, Jan-Dirk; Nelson, Katja; Heberer, Susanne; Scheifele, Christian; Klein, Martin.

in: J CRANIO MAXILL SURG, Jahrgang 37, Nr. 6, 15.09.2009, S. 320-6.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

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@article{620c0d75ca234ec3be3208053334c48d,
title = "Stable vertical distraction osteogenesis of highly atrophic mandibles after ablative tumour surgery of the oral cavity--a salvage pathway for mandibular reconstruction prior to oral rehabilitation with dental implants",
abstract = "Mandibular reconstruction is still a challenge for surgeons. Distraction osteogenesis (DO) might contribute in certain instances to solve this problem. A principal advantage of DO is the expansion of the surrounding soft tissues that accompanies the bony regeneration. In addition there is no donor site morbidity when compared with reconstruction by autologous bone grafting. However its application may be limited by the thinness of the mandible and the attendant fracture risk. This article describes a technique that combines stable internal fixation with vertical distraction of the alveolar ridge in six patients with critical mandibular thickness after ablative surgery for cancer of the oral cavity. Prior to implant insertion for further prosthodontic restoration stable vertical mandibular distraction produced an additional 11-20mm. Improvement of the surrounding soft tissues, especially intraorally was achieved and dental implants were inserted after bony consolidation. This method can be a useful salvage technique for the augmentation of the atrophic mandible in patients who are not able or willing to undergo the risks and disadvantages of established methods such as free autologous bone transfer or microsurgical techniques.",
keywords = "Aged, Alveolar Ridge Augmentation/methods, Bone Plates, Bone Regeneration, Dental Implantation, Endosseous, Female, Humans, Jaw Fixation Techniques, Male, Mandible/surgery, Mandibular Neoplasms/rehabilitation, Middle Aged, Osteogenesis, Distraction/methods, Reconstructive Surgical Procedures/methods, Treatment Outcome, Vertical Dimension",
author = "Nicolai Adolphs and Christoph Sproll and Jan-Dirk Raguse and Katja Nelson and Susanne Heberer and Christian Scheifele and Martin Klein",
year = "2009",
month = sep,
day = "15",
doi = "10.1016/j.jcms.2009.01.003",
language = "English",
volume = "37",
pages = "320--6",
journal = "J CRANIO MAXILL SURG",
issn = "1010-5182",
publisher = "Elsevier",
number = "6",

}

RIS

TY - JOUR

T1 - Stable vertical distraction osteogenesis of highly atrophic mandibles after ablative tumour surgery of the oral cavity--a salvage pathway for mandibular reconstruction prior to oral rehabilitation with dental implants

AU - Adolphs, Nicolai

AU - Sproll, Christoph

AU - Raguse, Jan-Dirk

AU - Nelson, Katja

AU - Heberer, Susanne

AU - Scheifele, Christian

AU - Klein, Martin

PY - 2009/9/15

Y1 - 2009/9/15

N2 - Mandibular reconstruction is still a challenge for surgeons. Distraction osteogenesis (DO) might contribute in certain instances to solve this problem. A principal advantage of DO is the expansion of the surrounding soft tissues that accompanies the bony regeneration. In addition there is no donor site morbidity when compared with reconstruction by autologous bone grafting. However its application may be limited by the thinness of the mandible and the attendant fracture risk. This article describes a technique that combines stable internal fixation with vertical distraction of the alveolar ridge in six patients with critical mandibular thickness after ablative surgery for cancer of the oral cavity. Prior to implant insertion for further prosthodontic restoration stable vertical mandibular distraction produced an additional 11-20mm. Improvement of the surrounding soft tissues, especially intraorally was achieved and dental implants were inserted after bony consolidation. This method can be a useful salvage technique for the augmentation of the atrophic mandible in patients who are not able or willing to undergo the risks and disadvantages of established methods such as free autologous bone transfer or microsurgical techniques.

AB - Mandibular reconstruction is still a challenge for surgeons. Distraction osteogenesis (DO) might contribute in certain instances to solve this problem. A principal advantage of DO is the expansion of the surrounding soft tissues that accompanies the bony regeneration. In addition there is no donor site morbidity when compared with reconstruction by autologous bone grafting. However its application may be limited by the thinness of the mandible and the attendant fracture risk. This article describes a technique that combines stable internal fixation with vertical distraction of the alveolar ridge in six patients with critical mandibular thickness after ablative surgery for cancer of the oral cavity. Prior to implant insertion for further prosthodontic restoration stable vertical mandibular distraction produced an additional 11-20mm. Improvement of the surrounding soft tissues, especially intraorally was achieved and dental implants were inserted after bony consolidation. This method can be a useful salvage technique for the augmentation of the atrophic mandible in patients who are not able or willing to undergo the risks and disadvantages of established methods such as free autologous bone transfer or microsurgical techniques.

KW - Aged

KW - Alveolar Ridge Augmentation/methods

KW - Bone Plates

KW - Bone Regeneration

KW - Dental Implantation, Endosseous

KW - Female

KW - Humans

KW - Jaw Fixation Techniques

KW - Male

KW - Mandible/surgery

KW - Mandibular Neoplasms/rehabilitation

KW - Middle Aged

KW - Osteogenesis, Distraction/methods

KW - Reconstructive Surgical Procedures/methods

KW - Treatment Outcome

KW - Vertical Dimension

U2 - 10.1016/j.jcms.2009.01.003

DO - 10.1016/j.jcms.2009.01.003

M3 - SCORING: Journal article

C2 - 19540772

VL - 37

SP - 320

EP - 326

JO - J CRANIO MAXILL SURG

JF - J CRANIO MAXILL SURG

SN - 1010-5182

IS - 6

ER -