Dynamic periosteal elevation

Kessler, Peter; Bumiller, Lars; Schlegel, Andreas; Birkholz, Torsten; Neukam, Friedrich Wilhelm; Wiltfang, Jörg

doi:10.1016/j.bjoms.2006.09.010

« Previous Next »British Journal of Oral and Maxillofacial Surgery
Volume 45, Issue 4 , Pages 284-287, June 2007

Dynamic periosteal elevation

Peter Kessler
- Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glueckstrasse 11, D-91054 Erlangen, Germany
- Corresponding author. Tel +49 9131 8533616; fax: +49 9131 8534219.
Lars Bumiller
- Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glueckstrasse 11, D-91054 Erlangen, Germany
Andreas Schlegel
- Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glueckstrasse 11, D-91054 Erlangen, Germany
Torsten Birkholz
- Department of Anaesthesiology, University of Erlangen-Nuremberg, Krankenhausstrasse 12, D-91054 Erlangen, Germany
Friedrich Wilhelm Neukam
- Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glueckstrasse 11, D-91054 Erlangen, Germany
Jörg Wiltfang
- Department of Oral and Maxillofacial Surgery, University of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 16, D-24105 Kiel, Germany

Accepted 16 September 2006. published online 07 November 2006.

Abstract

The osteoinductive potential of the periosteum can be stimulated by raising the periosteum using a type of distraction. This was tested and confirmed in an animal experiment in 6 Goettingen minipigs. A titanium mesh was implanted beneath the periosteum and then raised. Bone formed underneath the mesh, with rows of micro-pillars similar to those found after osteodistraction. The main advantages of dynamic periosteal elevation are that invasion and morbidity are minimal. Clinically it might be applicable in craniomaxillofacial surgery, in augmentation before implantation, and in reconstruction of the skull.

Keywords: Augmentation, Osteoinduction, Distraction