Callusmassage. A new treatment modality for non-unions of the irradiated mandible.
Recent reports on orthopaedic surgery focus on mechanical stimulation of the regenerate during distraction therapy of non-unions in long-bone-surgery. In the field of maxillofacial surgery, callus stimulating techniques are rarely reported. The case of a 65-year-old man with a radiogenic mandibular non-union after ablative tumour therapy and pre-operative radiation therapy presented with a non-union. Vertical distraction in combination with subsequent repeated, stepwise compression and distraction (=massage) had a positive effect on the consolidation of the regenerate.
Lazar
F C
FC
Department of Oral and Maxillofacial Surgery, University of Cologne, Germany. Frank.Lazar@uni-koeln.de
Klesper
B
B
Carls
P
P
Siessegger
M
M
Hidding
J
J
Zoeller
J
J
D000368:Aged; D001861:Bone Regeneration / Q000502:physiology; D002146:Bony Callus / Q000502:physiology*; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000601:surgery; D008337:Mandibular Fractures / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000532:radiotherapy / Q000601:surgery; D010012:Osteogenesis / Q000502:physiology; D019857:Osteogenesis, Distraction / Q000379:methods*; D010025:Osteoradionecrosis / Q000601:surgery