Dynamic periosteal elevation.
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.
Kessler
Peter
P
Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glueckstrasse 11, D-91054 Erlangen, Germany. kessler@imed.mkg.uni-erlangen.de
Bumiller
Lars
L
Schlegel
Andreas
A
Birkholz
Torsten
T
Neukam
Friedrich Wilhelm
FW
Wiltfang
Jörg
J
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
D001672:Biocompatible Materials; D014025:Titanium