Open AccessCreation of bone and soft tissue in postmaxillectomy patients using curvilinear transport distraction osteogenesis
Author(s) -
Rushdi Hendricks,
George Vicatos
Publication year - 2019
Publication title -
annals of maxillofacial surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.365
H-Index - 6
ISSN - 2231-0746
DOI - 10.4103/ams.ams_88_19
Subject(s) - distraction osteogenesis , distraction , medicine , maxilla , dentistry , sagittal plane , orthodontics , soft tissue , surgery , anatomy , neuroscience , biology
Large surgical defects in the maxilla due to trauma or tumor are usually reconstructed with revascularized-free fibula flaps (RFFF). In the past, the use of curvilinear transport distraction osteogenesis (CTDO) has been shown to be an efficacious way in closing large defects in the maxilla, but it had limitations which have now been overcome by the present development. The present distractor is an improvement upon the previous three prototypes and employs the concept of tetrafocal distraction by means of hybridizing the bone with the tooth in the transport disc segment. This article aims to prove that tetrafocal distraction provides a viable alternative to the RFFF.