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Journal Articles Journal of Stomatology, Oral and Maxillofacial Surgery Year : 2019

Alveolar distraction osteogenesis of a fibula free flap in maxillary reconstruction

Abstract

In maxillary reconstruction, it is challenging to obtain satisfactory maxillary projection and to optimizate the dental implant-prosthetic rehabilitation. We report a case of sagittal distraction of a fibula free flap used to reconstruct maxilla after a ballistic trauma. Distraction began seven days after implantation of the device. The distraction protocol was 0.9 mm per day during a total period of 2 months. Cone beam computed tomography acquisitions were performed at 3 months after the end of the distraction. The distractor device was removed 5 months after the end of the distraction protocol to allow bone consolidation. A satisfactory total distraction of 7 mm was obtained with an esthetic variation of the projection of the upper lip and closure of the nasolabial angle.
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Dates and versions

hal-02296085 , version 1 (21-07-2022)

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Attribution - NonCommercial

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A. Kahn, J.D. Kün-Darbois, H. Bénateau, A. Veyssière. Alveolar distraction osteogenesis of a fibula free flap in maxillary reconstruction. Journal of Stomatology, Oral and Maxillofacial Surgery, 2019, pp.566-569. ⟨10.1016/j.jormas.2019.05.005⟩. ⟨hal-02296085⟩
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