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Published on: October 18, 2021
Sequential maxillary bifocal transport distraction osteogenesis after radiotherapy.
Danling Yang1, Hongbo Yu, Andrew Hua-an Cheng
1Department of Prosthodontics, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
The Journal of Craniofacial Surgery
|March 19, 2011
Summary
Functional maxillary reconstruction after ablative surgery is challenging, especially with radiotherapy. This study details a successful approach using segmental osteotomy, distraction osteogenesis, and prosthodontics for partial maxillary defects.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
- Biomaterials Science
Background:
- Maxillary defects often result from ablative surgery, posing significant reconstructive challenges.
- Adjuvant radiotherapy complicates surgical planning and outcomes for patients with maxillary defects.
Observation:
- A partial maxillary defect was successfully reconstructed.
- The reconstruction involved a combination of surgical and prosthetic techniques.
Findings:
- Segmental osteotomy and sequential bifocal distraction osteogenesis were employed for bone reconstruction.
- Prosthodontic treatment was integrated for functional and aesthetic restoration.
Implications:
- This combined surgical and prosthetic approach offers a viable solution for functional maxillary reconstruction.
- Detailed surgical planning and technique are crucial for successful outcomes in complex maxillary defects.
