Advances in Oral and Maxillofacial Surgery (Jan 2021)

Avascular necrosis in pediatric mandibular distraction - Report of a rare complication with a review on the pathogenic mechanism and management strategies

  • V.B. Krishnakumar Raja,
  • P. Sneha,
  • Ankush Goyal,
  • B. Muthukumar,
  • R. Savitha Lakshmi

DOI
https://doi.org/10.1016/j.adoms.2021.100015
Journal volume & issue
Vol. 1
p. 100015

Abstract

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Avascular osseo-necrosis is one of the rare complications that has never been reported in pediatric mandibular distraction. However extensive periosteal stripping, developing tooth buds and aberrations related to the inferior alveolar canal in malformed syndromic mandible may lead to compromised vascularity to the osteotomised segments leading to avascular necrosis after monofocal mandibular distraction. The aim of the current case report is to describe this rare complication after pediatric MMDO and discuss in detail the possible etio-pathologic mechanisms and provide an insight for the management strategies.

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