Unexpected breakage of mandibular midline distraction device: case report

Uçkan, Sina; Veziroglu, Firdevs; Arman, Ayça

doi:10.1016/j.tripleo.2006.05.025

Cited by 15 publications

(7 citation statements)

References 24 publications

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“…24,25 However, the first activation of the spring, after the latency period, requires an operative process to release the activation mechanism. 64 Spring activation mechanisms can be either a uniform coiled wire 24,35,65 or a bent wire with different conformations. 25,55,66,67 Bent springs (Fig.…”

Section: 26mentioning

confidence: 99%

“…Inspite of the proven success of the MBT technique, problems still persist, such as soft tissue dehiscence, occurrence of occlusal disturbances, bone transport segment losing orientation, premature consolidation, regenerate deficiency, docking site nonunion, and failing devices. 34 Although several mandibular distraction devices have failed, 13,32,[35][36][37] paradoxically, no studies have examined both device design and biomechanical characteristics.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Biomechanical Configurations of Mandibular Transport Distraction Osteogenesis Devices

Zapata

Elsalanty

Dechow³

et al. 2010

Tissue Engineering Part B: Reviews

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Section: 26mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Biomechanical Configurations of Mandibular Transport Distraction Osteogenesis Devices

Zapata

Elsalanty

Dechow³

et al. 2010

Tissue Engineering Part B: Reviews

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“…26 Device breakage has been attributed to premature consolidation, improper activation, external trauma to the device and unmanaged/neglected occlusal discrepancies. 27 Management 1. This complication often requires a second surgical procedure to treat premature ossification and to replace the non-functional/ distorted/loosened device.…”

Section: Device Failurementioning

confidence: 99%

Complications of distraction osteogenesis: Narrative review

et al. 2021

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The aim of this narrative review is to discuss the complications of distraction osteogenesis (DO) of facial skeleton and their management. Materials and Method:A detailed literature search was done on PubMed, Google Scholar and Embase from the year 1990 onwards. Any systematic review, randomized controlled trial, controlled clinical trial, retrospective/prospective study discussing about complications of maxillofacial DO and their management were included.Results: Complications related to DO were divided based on phases as (a) planning (patient counselling, improper vector, errors in device selection, etc.), (b) surgery (tooth injury, neurosensory disturbance, incomplete osteotomy, etc.), (c) distraction (device failure, pain at regenerate site, premature consolidation, etc.) and (d) consolidation (infection, hypertrophic scar, relapse, etc.). Conclusion:Widespread applications are possible with DO though it is a devicedependent and technique-sensitive procedure. With proper planning and execution, DO can become the gold standard for managing various maxillofacial disorders.

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“…The application of the BTDO surgical technique has produced extended conceptualization and design of new BTDO devices to be used in human subjects [8,9]. However, most of these new BTDO devices have been produced without biomechanical evaluation, resulting in risk of device failure or lack of optimization of the size of the device [10]. At this point, the most common development process for new BTDO devices includes conceptualization, design, manufacture, and trials on patients [11].…”

Section: Introductionmentioning

confidence: 99%

In Vitro Mechanical Evaluation of Mandibular Bone Transport Devices

Zapata

Watanabe

Opperman

et al. 2014

Journal of Medical Devices

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Bone transport distraction osteogenesis (BTDO) is a surgical procedure that has been used over the last 30 years for the correction of segmental defects produced mainly by trauma and oncological resections. Application of BTDO has several clinical advantages over traditional surgical techniques. Over the past few years, several BTDO devices have been introduced to reconstruct mandibular bone defects. Based on the location and outline of the defect, each device requires a uniquely shaped reconstruction plate. To date, no biomechanical evaluations of mandibular BTDO devices have been reported in the literature. The present study evaluated the mechanical behavior of three different shaped prototypes of a novel mandibular bone transport reconstruction plate and its transport unit for the reconstruction of segmental bone defects of the mandible by using numerical models complemented with mechanical laboratory tests to characterize strength, fatigue, and stability. The strength test evaluated device failures under extreme loads and was complemented with optimization procedures to improve the biomechanical behavior of the devices. The responses of the prototypes were characterized to improve their design and identify weak and strong regions in order to avoid posterior device failure in clinical applications. Combinations of the numerical and mechanical laboratory results were used to compare and validate the models. In addition, the results remark the importance of reducing the number of animals used in experimental tests by increasing computational and in vitro trials.

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Unexpected breakage of mandibular midline distraction device: case report

Cited by 15 publications

References 24 publications

Biomechanical Configurations of Mandibular Transport Distraction Osteogenesis Devices

Biomechanical Configurations of Mandibular Transport Distraction Osteogenesis Devices

Complications of distraction osteogenesis: Narrative review

In Vitro Mechanical Evaluation of Mandibular Bone Transport Devices

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