Molding of the regenerate in reconstruction of the temporomandibular joint by distraction osteogenesis: A case report

Abstract

Distarksiyon osteogenezisinde rejenerat?n ?ekillendirilmesi literatürde kabul edilen bir prosedürdür. Bu i?lem genellikle konsolidasyon periodunda elastik traksiyon ile uygulanmaktad?r. Bu olgu sunumunda, temporomandibular eklemin transport distraksiyon osteogenezisi ile rekonstrüksyonu s?ras?nda akut ?ekillendirme i?lemi uygulanm ??t?r. Aktivasyon periodunun 10. gününde transport segmentin uygun olmayan vektörde oldu?u fark edilmi? ve segmente manuel olarak yakla??k 150 kadar ?ekillendirme i?lemi uygulanm ??t?r. ?ki y?ll?k takip sonucunda olguda iyi bir temporomandibular eklem fonksiyonu ve kemik olu?umu izlenmi?tir.

Molding of the regenerate in distraction osteogenesis has been accepted as an applicable procedure. The method has been applied gradually more often in the consolidation period by elastic traction. In this case report, we applied acute molding of the regenerate manually during the transport distraction osteogenesis for reconstruction of temporomandibular joint. On the 10th day of the activation period, we noticed that the vector of the segment had not been on the correct direction. Immediately, we positioned the vector of the device on about 15 degree by a careful digital remodelling. Two years after surgery there was a good temporomandibular joint function with good bone healing.