Alveolar distraction osteogenesis of a fibula free flap in maxillary reconstruction

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Kahn, A. | Kün-Darbois, J.D. | Bénateau, H. | Veyssière, A.

Edité par CCSD ; Elsevier Masson -

International audience. In maxillary reconstruction, it is challenging to obtain satisfactory maxillary projection and to optimizate the dental implant-prosthetic rehabilitation. We report a case of sagittal distraction of a fibula free flap used to reconstruct maxilla after a ballistic trauma. Distraction began seven days after implantation of the device. The distraction protocol was 0.9 mm per day during a total period of 2 months. Cone beam computed tomography acquisitions were performed at 3 months after the end of the distraction. The distractor device was removed 5 months after the end of the distraction protocol to allow bone consolidation. A satisfactory total distraction of 7 mm was obtained with an esthetic variation of the projection of the upper lip and closure of the nasolabial angle.

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