Reconstruction of Canine Mandibular Bone Defects Using a Bone Transport Reconstruction Plate
Overview
Authors
Affiliations
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.
Baumgartner D, Schramel J, Kau S, Unger E, Oberoi G, Peham C Front Vet Sci. 2023; 10:1165689.
PMID: 37065217 PMC: 10098091. DOI: 10.3389/fvets.2023.1165689.
Ramanathan M, Shetty N, Rai M, Mathew J, Singh U J Maxillofac Oral Surg. 2022; 21(2):530-532.
PMID: 35712419 PMC: 9192870. DOI: 10.1007/s12663-020-01425-9.
Urlaub K, Ettinger R, Nelson N, Hoxie J, Snider A, Perosky J J Craniofac Surg. 2018; 30(2):611-617.
PMID: 30531286 PMC: 6541514. DOI: 10.1097/SCS.0000000000005032.
Shah S, Young S, Goldman J, Jansen J, Wong M, Mikos A Nat Protoc. 2016; 11(10):1989-2009.
PMID: 27658014 DOI: 10.1038/nprot.2016.122.
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.