Yavuz FINDIK, Timuçin BAYKUL, Gülperi KOÇER, Mehmet Fatih ŞENTÜRK, Tayfun YAZICI, Halime KARAKURT

Rehabilitating Wide Maxillary Defect with Distraction Osteogenesis and Khoury Technique: Case Report

Abstract Maxillary and mandibular bone defects can result from injury, congenital defect or accident, or as a consequence of surgical procedures when treating pathology or defects affecting jaw bones. And with conventional bone grafting techniques, it is not possible to close these kind of defects. Distraction osteogenesis has become a very popular technique, as the ability to reconstruct combined deficiencies in bone and soft tissue makes this process unique and invaluable to all types of reconstructive surgeons. The aim of this article is to present the case of a 52-year-old female patient, who, in 2016, was operated at another center for tumour resection. After these, patient referred to our center and we treated the wide anterior maxillary bone and soft tissue defect by using bilateral alveolar cleft distractor. After narrowing the wide defect with distraction osteogenesis, khoury technique was used for rehabilitating the small defect. As a result, using cleft distractor is an effective method for rehabilitation of the large maxillary defects.

Keywords:

Distraction osteogenesis, Khoury technique, maxillary defect, maxillectomy,

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1. Sowerwine KJ, Holland SM, Freeman AF. Hyper-IgE syndrome update. Ann N Y Acad Sci. 2012;1250:25.
2. Davis SD, Schaller J, Wedgwood RJ. Job’s syndrome: recurrent, “cold”, staphylococcal abscesses. Lancet 1966;1:1013- 15.
3. Grimbacher B, Holland SM, Gallin JI, et al: Hyper-IgE syndrome with recurrent infections—An autosomal dominant multisystem disorder. N Engl J Med. 1999;340:692.
4. DeWitt CA, Bishop AB, Buescher LS, et al: Hyperimmunoglobulin E syndrome: Two cases and a review of the literature. J Am Acad Dermatol. 2006;54:855.
5. Freeman AF, Domingo DL, Holland SM. Hyper IgE (Job’s) syndrome: A primary deficiency with oral manifestations. Oral Dis. 2009;15:2.
6. Donabedian H, Gallin, JI. The hyperimmunoglobulin E recurrent- infection (Job’s) syndrome: A review of the NIH experience and the literature. Medicine.1983;62:195.
7. Shyur SD, Hill HR: Job’s syndrome of hyperimmunoglobulin E and recurrent infections, in Lichtenstein LM, Fauci AS, (eds). Current Therapy in Allergy, Immunology, and Rheumatology. St Louis, MO: Mosby-Year Book, 1992. p 322
8. O’Connell AC, Puck JM, Grimbacher B, et al. Delayed eruption of permanent teeth in hyperimmunoglobulinemia E recurrent infection syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89:177-85.
9. Domingo DL, Freeman AF, Davis J, et al. Novel intraoral phenotypes in hyperimmunoglobulin E syndrome. Oral Dis. 2008;14:73-81.
10. Mass E, Kaplan I, Hirshberg A. A clinical and histopathological study of radicular cysts associated with primary molars. J Oral Pathol Med. 1995; 24(10):458–61
11. Shetty S, Angadi PV, Rekha K. Radicular cyst in deciduous maxillary molars: a rarity. Head Neck Pathol. 2010;4(1):27– 30.
12. Nair PN. New perspectives on radicular cysts: do they heal?. Int Endod J. 1998;31(3):155–60.
13. Nagata T, Nomura J, Matsumura Y, Yanase S, Fujii T, Oka T, et al. Radicular cyst in a deciduous tooth: a case report and review of literature. J Dent Child. 2008;75:80–4.
14. Behrman RE, Kliegman RM, Jenson HB: Nelson Textbook of Pediatrics. Philadelphia, PA, Saunders, 2000
15. Burg FD, Ingelfinger JR, Wald ER, et al. Gellis and Kagan’s Current Pediatric Therapy. Philadelphia, PA, Saunders, 1999
16. Vigliante CE, Costello BJ, Quinn PD. Life- Threatening Cervicofacial Infection in a Child With Hyperimmunoglobulin-E Syndrome. J Oral Maxillofac Surg. 2001;59:561-565