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Reconstruction of Canine Mandibular Bone Defects Using a Bone Transport Reconstruction Plate

Overview
Journal Ann Plast Surg
Specialty General Surgery
Date 2009 Sep 23
PMID 19770704
Citations 12
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Abstract

Objectives: Reconstruction of mandibular segmental bone defects is a challenging task. This study tests a new device used for reconstructing mandibular defects based on the principle of bone transport distraction osteogenesis.

Methods: Thirteen beagle dogs were divided into control and experimental groups. In all animals, a 3-cm defect was created on one side of the mandible. In 8 control animals, the defect was stabilized with a reconstruction plate without further reconstruction and the animals were killed 2 to 3 months after surgery. The remaining 5 animals were reconstructed with a bone transport reconstruction plate, comprising a reconstruction plate with attached intraoral transport unit, and were killed after 1 month of consolidation.

Results: Clinical evaluation, cone-beam CT densitometry, three-dimensional histomorphometry, and docking site histology revealed significant new bone formation within the defect in the distracted group.

Conclusion: The physical dimensions and architectural parameters of the new bone were comparable to the contralateral normal bone. Bone union at the docking site remains a problem.

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Guided Intact Lower Rim for Mandibular Body Transport Distraction Osteogenesis: A Novel Surgical Technique.

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A composite critical-size rabbit mandibular defect for evaluation of craniofacial tissue regeneration.

Shah S, Young S, Goldman J, Jansen J, Wong M, Mikos A Nat Protoc. 2016; 11(10):1989-2009.

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Dentate transport discs can be used to reconstruct large segmental mandibular defects.

Elsalanty M, Malavia V, Zakhary I, Mulone T, Kontogiorgos E, Dechow P J Oral Maxillofac Surg. 2015; 73(4):745-58.

PMID: 25661502 PMC: 4369471. DOI: 10.1016/j.joms.2014.12.002.


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