de Moraes Márcio, Sato Fábio Ricardo Loureiro, Germano Adriano Rocha, Bastos Poliana Lima
Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, Campinas State University, Unicamp, São Paulo, Brazil.
Implant Dent. 2009 Apr;18(2):126-31. doi: 10.1097/ID.0b013e318198e447.
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.
本病例报告描述了一名因中央巨细胞肉芽肿切除导致严重上颌骨骨缺损患者的美学和功能重建成功案例。最初，对病变进行了刮除术加周边骨切除术。第二步用髂骨移植重建缺损，两次手术均在全身麻醉下进行。第二步手术后六个月，对移植的上颌骨进行了后期垂直牵张成骨术以获得满意的骨高度。牵张成骨术对于与骨移植相关的骨缺损重建可能是一个很好的选择；然而，对于严重的病理性颌骨缺损，不应将其作为首选治疗方法。
