title: Dynamic periosteal elevation.
abstract: The osteoinductive potential of the periosteum can be stimulated by raising the periosteum using a type of distraction. This was tested and confirmed in an animal experiment in 6 Goettingen minipigs. A titanium mesh was implanted beneath the periosteum and then raised. Bone formed underneath the mesh, with rows of micro-pillars similar to those found after osteodistraction. The main advantages of dynamic periosteal elevation are that invasion and morbidity are minimal. Clinically it might be applicable in craniomaxillofacial surgery, in augmentation before implantation, and in reconstruction of the skull.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glueckstrasse 11, D-91054 Erlangen, Germany. kessler@imed.mkg.uni-erlangen.de
authors.forename: Peter
authors.initials: P
authors.lastname: Kessler
authors.forename: Lars
authors.initials: L
authors.lastname: Bumiller
authors.forename: Andreas
authors.initials: A
authors.lastname: Schlegel
authors.forename: Torsten
authors.initials: T
authors.lastname: Birkholz
authors.forename: Friedrich Wilhelm
authors.initials: FW
authors.lastname: Neukam
authors.forename: Jörg
authors.initials: J
authors.lastname: Wiltfang
mesh_terms: D000818:Animals; D001672:Biocompatible Materials; D001861:Bone Regeneration / Q000502:physiology; D005260:Female; D005624:Frontal Bone / Q000601:surgery; D008852:Microradiography; D019060:Minimally Invasive Surgical Procedures; D010012:Osteogenesis / Q000502:physiology; D019857:Osteogenesis, Distraction / Q000145:classification / Q000295:instrumentation / Q000379:methods*; D010521:Periosteum / Q000601:surgery*; D013526:Surgical Mesh; D013552:Swine; D013556:Swine, Miniature; D013997:Time Factors; D014025:Titanium; D014945:Wound Healing / Q000502:physiology
chemical_list: D001672:Biocompatible Materials; D014025:Titanium