Full Description
Distraction osteogenesis is a technique of bone lengthening developed by the late Dr. Ilizarov of Russia. It has been applied to the lower extremities with amazing success for the correction of non-unions following fractures as well as underdeveloped limbs. Dr. McCarthy and his colleagues at NYU have developed techniques of distracting various components of the craniofacial skeleton. These techniques hold considerable promise for reconstructive surgery, allowing the surgeon to make precise changes in the lenthening and shape of the new craniofacial bone. This volume is the first book of its kind, bringing together the pioneers of these revolutionary new techniques. An international group of experts present their clinical and laboratory experience with destraction of the cranial vault, orbit, midface and zygoma, and mandible, as well as the prinicples of distraction, biomechanics, and the physiology of bone healing and remodeling. Two hundred illustrations elucidate the techniques. This book is a must for all reconstructive plastic surgeons, maxillofacial surgeons, and oral surgeons.
Contents
1 Principles.- 1 Bone Regeneration: Concepts and Update.- 2 Biomechanics of Distraction.- 3 Principles of Distraction Osteogenesis: The Orthopedic Experience.- 2 The Mandible.- 4 Distraction of the Mandible: Experimental Studies.- 5 Distraction of the Mandible: The New York University Experience.- 6 Distraction of the Mandible: The Mexico City Experience.- 7 Intraoral Distraction.- 8 The Effect of Distraction on the Temporomandibular Joint.- 9 Volumetric Studies Following Mandibular Distraction.- 3 The Midface and the Zygomas.- 10 Distraction of the Midface and the Zygoma: Experimental Studies.- 11A Distraction of the Maxilla.- 11B Rigid External Maxillary Distraction.- 12 Distraction of the Midface and the Zygoma: Clinical Studies.- 13 Distraction of the Midface.- 4 The Cranium and the Orbits.- 14 Distraction of the Cranial Vault.- 15A Distraction of the Orbit.- 15B Distraction of the Orbit.- Epilogue.
