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Wound healing associated with segmental total maxillary osteotomy.

J G Quejada, H Kawamura, R A Finn

    Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
    |May 1, 1986
    PubMed
    Summary

    This study examined a surgical technique for maxillary osteotomy, finding it supports bone healing and revascularization for up to 28 days. The method ensures adequate blood supply, with minimal progressive bone death observed.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Surgical Research
    • Bone Healing Biology

    Background:

    • Segmental total maxillary osteotomy is a complex procedure.
    • Maintaining vascularity to mobilized bone segments is critical for healing.
    • Existing techniques may compromise blood supply to maxillary segments.

    Purpose of the Study:

    • To evaluate a novel technique for segmental total maxillary osteotomy.
    • To assess the effects of dual soft tissue pedicles on osseous revascularization and healing.
    • To determine the viability of maxillary segments up to 28 days post-surgery.

    Main Methods:

    • Single-stage, four-segment total maxillary osteotomies were performed in five adult male rhesus monkeys.
    • A technique maintaining dual soft tissue pedicles (palatal and labiobuccal) was employed.

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  • Histologic examination of maxillary segments was conducted at intervals from immediate to 28 days post-operation.
  • Main Results:

    • The dual soft tissue pedicle technique adequately supported total maxillary osteotomy through 28 days.
    • Sufficient blood supply was maintained to the anterior maxillary segment by the soft tissue flap.
    • While all bony segments showed transient effects on healing and viability, marginal osteonecrosis was not progressive.

    Conclusions:

    • The studied technique is effective in maintaining vascularity and supporting healing in segmental total maxillary osteotomy.
    • The dual pedicle approach appears safe for maxillary bone segments in the short term.
    • Further investigation is needed to clarify the effects on dental pulp vitality.