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Research Article| Volume 58, ISSUE 3, P324-328, April 2020

Clinical use of internal distraction osteogenesis in the rehabilitation of gunshot injuries of the mandible

  • X.-g. Niu
    Correspondence
    Corresponding author at: Department of Stomatology, First Outpatient Department, Logistics Support Department of Central Military, Commission 22 Fu Xing Road, Beijing, 100842, PR China Tel.:+86 139 11529649.
    Affiliations
    Department of Stomatology, First Outpatient Department, Logistics Support Department of Central Military Commission, Beijing 100842, PR China
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  • Author Footnotes
    1 Tel.: +86 135 11076876.
    Y.-b. Du
    Footnotes
    1 Tel.: +86 135 11076876.
    Affiliations
    Department of Stomatology, First Outpatient Department, Logistics Support Department of Central Military Commission, Beijing 100842, PR China
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  • Author Footnotes
    2 Tel.: +86 15701125975.
    K. Ji
    Footnotes
    2 Tel.: +86 15701125975.
    Affiliations
    Department of Stomatology, First Outpatient Department, Logistics Support Department of Central Military Commission, Beijing 100842, PR China
    Search for articles by this author
  • Author Footnotes
    1 Tel.: +86 135 11076876.
    2 Tel.: +86 15701125975.
Published:January 23, 2020DOI:https://doi.org/10.1016/j.bjoms.2019.12.012

      Abstract

      Rehabilitation of gunshot injuries that require combined reconstruction of bone and soft tissue poses a considerable challenge. We describe three cases of rehabilitation for mandibular defects and deformities caused by gunshot injuries. After debridement, three kinds of internal distractors were used. The bony transport discs were distracted about 10-22 mm, and the new bone formed well in the distracted gaps. There was no evidence of infection during the consolidation period or follow up. Aesthetic appearance was also pleasing after treatment. Internal distraction osteogenesis after debridement might be a practical way of synchronously reconstructing bony and soft tissue after mandibular gunshot injuries.

      Keywords

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