佐々木 亮
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Original article
Language English
Peer review Peer reviewed
Title Multistage bone-charged distraction osteogenesis for aesthetic reconstruction of an extensive bone deficiency in the mandible.
Journal Formal name:The Journal of craniofacial surgery
Abbreviation:J Craniofac Surg
ISSN code:(1536-3732)1049-2275(Linking)
Domestic / ForeginForegin
Volume, Issue, Page 23(1),pp.175-177
Author and coauthor Watanabe Yorikatsu†, Sasaki Ryo, Ando Tomohiro, Okano Teruo, Akizuki Tanetaka
Publication date 2012/01
Summary Alveolar and mandibular bone defects impair occlusion and affect the aesthetics of facial contouring, making it difficult to obtain a satisfactory outcome. Treatment with distraction osteogenesis (DO) is particularly difficult in cases in which the defective region extends to close to the inferior margin of the mandible. To overcome the limits of current DO, we developed a method as follows. In the first stage, a submucosal space necessary for bone grafting was prepared by soft tissue expansion through DO. In the second stage, an iliac corticocancellous bone was transplanted with its cancellous side in close contact with the new bone in the space formed on the labial side into this new space. In the third stage, the grafted bone was distracted. This technique requires time, but each surgery is of minimum invasiveness and does not leave a visible scar; use of this technique may expand the limited indication of current DO and dental implants.
DOI 10.1097/SCS.0b013e3182418c82
PMID 22337401