下颌骨牵引游离髂骨移植物治疗枪伤患者1例。病例报告

Jaime Andrés Jiménez-Álvarez, Jesus Andrés Duque-Montealegre, José Manuel Valdés-Reyes
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引用次数: 0

摘要

简介:在第二次手术干预中,非血管化髂骨移植物和牵张成骨的结合仅被描述为实现牙槽嵴增大。该方法不建议用于枪弹所致颌骨骨缺损的治疗。病例介绍:40岁女性,1岁时因火器弹丸撞击造成下颌骨体节段性缺损。患者发展为严重的II类牙面异常,需要两个阶段的治疗;她接受了游离髂骨骨移植的下颌骨重建,随后在髂骨骨移植物的水平上进行了双侧下颌骨牵引。通过这些干预措施,患者的畸形得到了显著改善。结论:游离髂骨水平牵引是治疗需要重建下颌骨的牙颌畸形的一种安全、可预测的方法。该手术在患者中进行,无并发症。需要进一步研究这种技术的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound. Case Report
Introduction: The combination of non-vascularized iliac crest bone graft and distraction osteogenesis in a second surgical intervention has only been described to achieve alveolar ridge augmentation. This technique is not recommended to treat bone defects of the jaws caused by firearm projectile. Case presentation: 40-year-old woman with a segmental mandibular defect in the mandible body caused by the impact of a firearm projectile at the age of 1 year. The patient developed a severe Class II dentofacial anomaly that required a two-stage treatment; she underwent mandibular reconstruction with free iliac crest bone graft followed by a bilateral mandibular distraction at the level of the iliac crest bone graft. With these interventions, a remarkable improvement of the patient's malformation was achieved. Conclusion: Horizontal distraction of the free iliac crest bone graft is a safe and predictable procedure to treat dentolabial anomalies requiring mandibular reconstruction. This procedure was performed in the patient without complications. Further studies on the effectiveness of this technique are required.
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