Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2010-12-1
pubmed:abstractText
We present a patient who underwent alveolar reconstruction using vertical mandibular lengthening by distraction osteogenesis under unfavorable conditions. Part of the alveolar bone in the center of the mandible was resected, together with a squamous cell carcinoma located on the oral floor. We used vertical mandibular lengthening from the region of the remaining mandible inferior to the bony defect to reconstruct the alveolus, combined with a free musculocutaneous flap as a cover. However, the transferred flap underwent complete necrosis and was replaced with another flap on the seventh postoperative day. Radiotherapy at a total dose of 50 Gy was administered from day 75 to day 109 after completion of the distraction, because of suspected residual tumor. Despite the severe conditions, most of the distraction gap became filled with new bone. This case indicates that distraction osteogenesis can be used even in irradiated or poorly vascularized areas, as in our patient.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1536-3732
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
21
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1810-2
pubmed:meshHeading
pubmed-meshheading:21119427-Alveolectomy, pubmed-meshheading:21119427-Alveoloplasty, pubmed-meshheading:21119427-Carcinoma, Squamous Cell, pubmed-meshheading:21119427-Follow-Up Studies, pubmed-meshheading:21119427-Free Tissue Flaps, pubmed-meshheading:21119427-Humans, pubmed-meshheading:21119427-Male, pubmed-meshheading:21119427-Mandible, pubmed-meshheading:21119427-Middle Aged, pubmed-meshheading:21119427-Mouth Floor, pubmed-meshheading:21119427-Mouth Neoplasms, pubmed-meshheading:21119427-Muscle, Skeletal, pubmed-meshheading:21119427-Necrosis, pubmed-meshheading:21119427-Neoadjuvant Therapy, pubmed-meshheading:21119427-Neoplasm, Residual, pubmed-meshheading:21119427-Osteogenesis, pubmed-meshheading:21119427-Osteogenesis, Distraction, pubmed-meshheading:21119427-Radiotherapy, Adjuvant, pubmed-meshheading:21119427-Reconstructive Surgical Procedures, pubmed-meshheading:21119427-Reoperation, pubmed-meshheading:21119427-Skin Transplantation, pubmed-meshheading:21119427-Surgical Wound Infection
pubmed:year
2010
pubmed:articleTitle
Alveolar reconstruction by distraction osteogenesis under unfavorable conditions.
pubmed:affiliation
Department of Plastic, Reconstructive and Aesthetic Surgery, Iwate Medical University, Faculty of Medicine, Morioka, Japan. kkashiwa@iwate-med.ac.jp
pubmed:publicationType
Journal Article, Case Reports