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Volume 22 , Issue 3
May/June 2002
Pages 251–257

Vertical Distraction Osteogenesis of Fibular Free Flap in Mandibular Prosthetic Rehabilitation: A Case Report

Claudio Marchetti, MD, DDS, Marco Degidi, MD, DDS, Antonio Scarano, DDS, Adriano Piattelli, MD, DDS

PMID: 12186347

A 17-year-old boy underwent three cycles of chemotherapy and a subsequent mandibular resection for a Ewing’s sarcoma of the left body and ramus. The mandible was immediately reconstructed with a microvascular osteomuscular fibular flap. One year after the mandibular reconstruction, distraction osteogenesis of the anterior portion of the fibula was performed using a Martin distractor according to the Hoffmeister technique. Bone lengthening was achieved at a rate of 1 mm/day by turning the device twice each day for 12 days. Subsequently, we waited for 70 days for bone consolidation to occur. After 6 additional weeks, five Maestro implants were placed into the distracted fibula. Bone specimens were retrieved with a trephine bur during implant placement. Mature bone was present after 70 days and after 6 months. The bone height increase was 12 mm. (Int J Periodontics Restorative Dent 2002;22:251–257.)

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