[The elimination of mandibular defects by an osteoplasty method using local tissues]

Abstract

Mandibular body defects 0.5 to 4.5 cm long were eliminated in 33 patients. Fracture edges were brought together to meet by means of compression distraction apparatus; when the surfaces were congruent, they were compressed. 10-12 days later distraction was started at a rate of 0.25 mm 4 times a day. Bone and soft tissue defects were replaced in the course of distraction. Soft tissue insufficiency that usually prevents free osteoplasty in this case favors local tissue osteoplasty.