Abstract:
PURPOSE OF REVIEW:Distraction osteogenesis is finding increasing application in the management of mandibular defects. It provides an alternative method of mandibular reconstruction in varied clinical settings, notably following trauma and ablation of malignant tumors. Many recent studies have explored modifications in surgical technique, refinements in device design, and experiments in animal models. This review attempts to discuss all of the above. RECENT FINDINGS:In addition to managing the segmental mandibular gap, the vertical distraction technique is highly useful for increasing fibular bony height, allowing osseointegrated implant placement and dental rehabilitation. Variations in distraction planes, parameters and device placement have made it possible to tailor appropriate reconstructive strategies to the specific patient. Newer developments in distractor design and constituents, and the application of staged distraction procedures, have facilitated optimal management of the challenging defect. SUMMARY:Distraction osteogenesis is a continually evolving field of research and study, and an aesthetically and functionally acceptable option for managing extensive mandibular defects, and those not amenable to conventional methods. It offers distinct advantages over other available reconstructive options, but does have its disadvantages. With further improvement in devices and technique, it has the potential of being much more widely used in the future.
journal_name
Curr Opin Otolaryngol Head Neck Surgauthors
Chopra S,Enepekides DJdoi
10.1097/MOO.0b013e3282495925subject
Has Abstractpub_date
2007-08-01 00:00:00pages
197-201issue
4eissn
1068-9508issn
1531-6998pii
00020840-200708000-00002journal_volume
15pub_type
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journal_title:Current opinion in otolaryngology & head and neck surgery
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journal_title:Current opinion in otolaryngology & head and neck surgery
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journal_title:Current opinion in otolaryngology & head and neck surgery
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journal_title:Current opinion in otolaryngology & head and neck surgery
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journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
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