書誌事項
- タイトル別名
-
- A patient undergoing secondary correction by distraction osteogenesis of the mandible reconstructed with a revascularized scapular osteocutaneous flap
- コツ エンチョウホウ ニ ヨリ 2ジ シュウセイ オ シタ ケッカンヘイ ツキ ケンコウコツ ニ ヨル カガク サイケン ノ 1レイ
この論文をさがす
抄録
We describe secondary correction by distraction osteogenesis of the mandible reconstructed with a revascularized scapular osteocutaneous flap. A 40-year-old woman with an edentulous mandible and shortened rami caused by condylar fractures and a malformed mandibular body due to a comminuted fracture reconstructed with an osteocutaneous flap, was referred for occlusal reconstruction. The reconstructed mandible was asymmetric, and micrognathia was present. The mandible was considered too small and malformed to place artificial teeth.Distraction osteogenesis was sequentially performed in both rami vertically for a distance of 10 mm, and the body horizontally for 20 mm and then vertically for 15 mm. The distraction protocol was 0.25-0.5 mm twice daily following a latency period of 7 days. The final outline of the mandible was contoured with a green stick fracture of the regenerated bone in the horizontally distracted region, which was fixed with a reconstruction plate. Six dental implants were placed in the distracted mandibular body.<br>Osseointegration was achieved, and the palatal mucosa was grafted around the implants for vestibuloplasty. The six implants have supported a cross-arch superstructure for occlusal reconstruction. Four years after the last session of distraction osteogenesis, the contoured mandible has retained a stable size and shape. Distraction osteogenesis was considered effective in contouring the grafted bone orthognathically.
収録刊行物
-
- 日本口腔外科学会雑誌
-
日本口腔外科学会雑誌 56 (1), 23-27, 2010
社団法人 日本口腔外科学会
- Tweet
キーワード
詳細情報 詳細情報について
-
- CRID
- 1390282681507252480
-
- NII論文ID
- 10027842085
-
- NII書誌ID
- AN00189163
-
- ISSN
- 21861579
- 00215163
-
- NDL書誌ID
- 10564196
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- NDL
- Crossref
- CiNii Articles
- KAKEN
-
- 抄録ライセンスフラグ
- 使用不可