title: Osteoplasty of the mandible by local tissues.
abstract: Thirty three patients with 0.5 to 4.5 cm gunshot defects of the mandible were treated. The ends of the fragments of the bone were initially compressed, then distracted with the help of a compression-distraction device. The immature callus was distracted at a rate of 0.25 mm four times a day. During the process of distraction the defects of bone and soft tissues are replaced. Lack of soft tissue, which make insertion of a free bone graft impossible, is the main indication for an osteoplasty by local tissues.
authors.affiliation: Propedeutics Stomatology Surgery, Moscow Medical Stomatological Institute, Russia.
authors.forename: M B
authors.initials: MB
authors.lastname: Shvyrkov
authors.forename: D D
authors.initials: DD
authors.lastname: Sumarokov
authors.forename: A H
authors.initials: AH
authors.lastname: Shamsudinov
mesh_terms: D001852:Bone Lengthening / Q000295:instrumentation / Q000379:methods*; D002146:Bony Callus; D005151:Facial Injuries / Q000601:surgery; D018460:Fractures, Comminuted / Q000601:surgery; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008337:Mandibular Fractures / Q000601:surgery*; D008338:Mandibular Injuries / Q000601:surgery; D013524:Surgical Flaps; D014948:Wounds, Gunshot / Q000601:surgery*