Mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound. Case Report

Introduction: The combination of non-vascularized iliac crest bone graft and distraction osteogenesis in a second surgical intervention has only been described to achieve alveolar ridge augmentation. This technique is not recommended to treat bone defects of the jaws caused by firearm projectile....

Full description

Saved in:
Bibliographic Details
Main Authors: Jaime Andrés Jiménez-Álvarez, Jesus Andrés Duque-Montealegre, José Manuel Valdés-Reyes
Format: Article
Language:English
Published: Universidad Nacional de Colombia 2021-08-01
Series:Case Reports
Subjects:
Online Access:https://revistas.unal.edu.co/index.php/care/article/view/88563
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846152061476929536
author Jaime Andrés Jiménez-Álvarez
Jesus Andrés Duque-Montealegre
José Manuel Valdés-Reyes
author_facet Jaime Andrés Jiménez-Álvarez
Jesus Andrés Duque-Montealegre
José Manuel Valdés-Reyes
author_sort Jaime Andrés Jiménez-Álvarez
collection DOAJ
description Introduction: The combination of non-vascularized iliac crest bone graft and distraction osteogenesis in a second surgical intervention has only been described to achieve alveolar ridge augmentation. This technique is not recommended to treat bone defects of the jaws caused by firearm projectile. Case presentation: 40-year-old woman with a segmental mandibular defect in the mandible body caused by the impact of a firearm projectile at the age of 1 year. The patient developed a severe Class II dentofacial anomaly that required a two-stage treatment; she underwent mandibular reconstruction with free iliac crest bone graft followed by a bilateral mandibular distraction at the level of the iliac crest bone graft. With these interventions, a remarkable improvement of the patient's malformation was achieved. Conclusion: Horizontal distraction of the free iliac crest bone graft is a safe and predictable procedure to treat dentolabial anomalies requiring mandibular reconstruction. This procedure was performed in the patient without complications. Further studies on the effectiveness of this technique are required.
format Article
id doaj-art-8743e7ffb94a4ded8e012e76f71e40f7
institution Kabale University
issn 2462-8522
language English
publishDate 2021-08-01
publisher Universidad Nacional de Colombia
record_format Article
series Case Reports
spelling doaj-art-8743e7ffb94a4ded8e012e76f71e40f72024-11-26T23:58:49ZengUniversidad Nacional de ColombiaCase Reports2462-85222021-08-017210.15446/cr.v7n2.88563Mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound. Case ReportJaime Andrés Jiménez-Álvarez0https://orcid.org/0000-0002-2738-6287Jesus Andrés Duque-Montealegre1https://orcid.org/0000-0003-4892-2736José Manuel Valdés-Reyes2https://orcid.org/0000-0003-0297-0716Instituto de Ortopedia Infantil Roosevelt - Department of Oral and Maxillofacial Surgery - Bogotá D.C. - Colombia. Instituto de Ortopedia Infantil Roosevelt - Department of Oral and Maxillofacial Surgery - Bogotá D.C. - Colombia. Pontificia Universidad Javieriana – School of Dentistry - Department of Oral and Maxillofacial Surgery - Bogotá, D.C. - Colombia. Introduction: The combination of non-vascularized iliac crest bone graft and distraction osteogenesis in a second surgical intervention has only been described to achieve alveolar ridge augmentation. This technique is not recommended to treat bone defects of the jaws caused by firearm projectile. Case presentation: 40-year-old woman with a segmental mandibular defect in the mandible body caused by the impact of a firearm projectile at the age of 1 year. The patient developed a severe Class II dentofacial anomaly that required a two-stage treatment; she underwent mandibular reconstruction with free iliac crest bone graft followed by a bilateral mandibular distraction at the level of the iliac crest bone graft. With these interventions, a remarkable improvement of the patient's malformation was achieved. Conclusion: Horizontal distraction of the free iliac crest bone graft is a safe and predictable procedure to treat dentolabial anomalies requiring mandibular reconstruction. This procedure was performed in the patient without complications. Further studies on the effectiveness of this technique are required. https://revistas.unal.edu.co/index.php/care/article/view/88563Bone TransplantationDistraction HistiogenesisIliac Crest
spellingShingle Jaime Andrés Jiménez-Álvarez
Jesus Andrés Duque-Montealegre
José Manuel Valdés-Reyes
Mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound. Case Report
Case Reports
Bone Transplantation
Distraction Histiogenesis
Iliac Crest
title Mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound. Case Report
title_full Mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound. Case Report
title_fullStr Mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound. Case Report
title_full_unstemmed Mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound. Case Report
title_short Mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound. Case Report
title_sort mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound case report
topic Bone Transplantation
Distraction Histiogenesis
Iliac Crest
url https://revistas.unal.edu.co/index.php/care/article/view/88563
work_keys_str_mv AT jaimeandresjimenezalvarez mandibulardistractionoffreeiliaccrestbonegraftastreatmentinapatientwithahistoryofgunshotwoundcasereport
AT jesusandresduquemontealegre mandibulardistractionoffreeiliaccrestbonegraftastreatmentinapatientwithahistoryofgunshotwoundcasereport
AT josemanuelvaldesreyes mandibulardistractionoffreeiliaccrestbonegraftastreatmentinapatientwithahistoryofgunshotwoundcasereport