Distraction osteogenesis of iliac bone graft as a reconstruction after central giant cell granuloma curettage.
This case report describes a successful aesthetic and functional reconstruction of a patient who had severe maxilla bony deficiency as a result of excision of central giant cell granuloma. Initially, the lesion was curetted plus peripheral ostectomy. The defect was reconstructed with iliac bone graft in a second step, with both surgeries performed under general anesthesia. Six months after second step, later vertical distraction osteogenesis was performed on the grafted maxilla to obtain a satisfactory bony height. Distraction osteogenesis can be a good alternative for the reconstruction of bone deficiencies associated to bone graft; however, it should be not done as first treatment in the severe pathologic jaw defects.
de Moraes
Márcio
M
Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, Campinas State University, Unicamp, São Paulo, Brazil.
Sato
Fábio Ricardo Loureiro
FR
Germano
Adriano Rocha
AR
Bastos
Poliana Lima
PL
D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous; D006101:Granuloma, Giant Cell / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008439:Maxillary Diseases / Q000534:rehabilitation / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D055815:Young Adult