Immediate Reconstruction of Large Full-Thickness Segmental Anterior Maxillary Defect with Bone Transport

This study describes the treatment of such a defect resulting from a myxoma excision, with trifocal distraction requiring only one additional surgery. Internal distractors were fixed bilaterally for transport of two segmental discs created by inverted L osteotomies at the same surgical time of tumor excision. A second surgery was performed after central contact between transport discs was achieved, for device removal and creation of a dynamic system to regenerate molding and compression-focus development. This was accomplished by internal fixation of one side and central fixation of a full-open distractor to act as compression device when reversely activated. Central perfect adaptation between transported segments and good-quality attached mucosa lining the alveolar crest were determinant to obtain a stable functional and aesthetic result. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text

Source: Craniomaxillofacial Trauma and Reconstruction - September 14, 2016 Category: ENT & OMF Authors: Pereira, Alberto Rocha Montezuma, Nuno Oliveira, Luis Magalh ães, Miguel Rosa, Jos é Tags: Original Article Source Type: research