Mandibular Distraction Osteogenesis With Newly Designed Electromechanical Distractor

Aykan, Andaç; Ugurlutan, Rifat; Zor, Fatih; Öztürk, Serdar

doi:10.1097/scs.0000000000000922

Cited by 11 publications

(13 citation statements)

References 32 publications

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“…In 2014, a new electromechanical extra-oral ACDO device for enabling continuous DO of mandible was developed [1], and the efficacy of the system was investigated on a sheep model. In this system a DC motor is used for generating the continuous DF.…”

Section: Motor-driven Distractorsmentioning

confidence: 99%

“…In 2015, the same research group [28], showed that bilateral application of a curvilinear, continuous and automated DO is effective at rate of up to 3 mm/day using a minipig model. In 2014, a continuous DO device was developed and tested on a sheep mandible bone [1]. Macroscopic and radiologic evaluations have shown that the callus was well formed.…”

Section: Continuous Distraction Of the Bone: Proof Of Principlementioning

confidence: 99%

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Review of automatic continuous distraction osteogenesis devices for mandibular reconstruction applications

Hatefi

Roux

et al. 2020

BioMed Eng OnLine

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Distraction osteogenesis (DO) is an emerging method for bone tissue reconstruction. In oral and maxillofacial reconstruction applications, DO is playing an important role as a technique without the need of bone graft. In addition, in a DO treatment procedure, a superior outcome could be achieved compared to conventional reconstruction techniques. Recently, a few automatic continuous distraction osteogenesis (ACDO) devices have been designed and developed to be used in human reconstruction applications. Experiments and animal studies have validated the functionality of the developed ACDO devices. It has shown that by using such ACDO devices in a DO procedure, compared to conventional manual DO methods, superior outcomes could be obtained. However, the application of such ACDO devices is still limited. More research and investigation need to be undertaken to study all requirements of ACDO devices to be used in successful human mandibular DO treatment. It is important to determine all requirements and standards that need to be considered and applied in the design and development of ACDO devices. The purpose of this review paper is to highlight the designed and developed ACDO procedures thus far in terms of their working principles, working parameters, and technical aspects for providing a better perspective of the development progress of ACDO devices for oral and maxillofacial reconstruction applications. In this paper, design principles, device specifications, and working parameters of ACDO devices are compared and discussed. Subsequently, current limitations and gaps have been addressed, and future works for enabling an ultimate automatic DO procedure have been suggested.

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Section: Motor-driven Distractorsmentioning

confidence: 99%

Section: Continuous Distraction Of the Bone: Proof Of Principlementioning

confidence: 99%

Review of automatic continuous distraction osteogenesis devices for mandibular reconstruction applications

Hatefi

Roux

et al. 2020

BioMed Eng OnLine

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“…c Electronic component of the electromechanical distractor in situ in a sheep model of distraction osteogenesis. ( a , b Reproduced with permission from Burstein; c reproduced with permission from Aykan et al )…”

Section: Tissue Engineeringmentioning

confidence: 99%

“…This has potential risk for human error, especially on repeated applications. Recently, Aykan and co‐workers reported a successful study detailing an electromechanical distractor used for sheep mandibular DO, with an automated distraction phase lasting a total of 20 days ( Fig. ).…”

Section: Tissue Engineeringmentioning

confidence: 99%

Impact of surgical innovation on tissue repair in the surgical patient

Tevlin

Atashroo

Duscher

et al. 2015

British Journal of Surgery

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Background: Throughout history, surgeons have been prolific innovators, which is hardly surprising as most surgeons innovate daily, tailoring their intervention to the intrinsic uniqueness of each operation, each patient and each disease. Innovation can be defined as the application of better solutions that meet new requirements, unarticulated needs or existing market needs. In the past two decades, surgical innovation has significantly improved patient outcomes, complication rates and length of hospital stay. There is one key area that has great potential to change the face of surgical practice and which is still in its infancy: the realm of regenerative medicine and tissue engineering.

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“…Subsequently, in 1992, MacCarthy reported the first clinical case of a DO procedure on mandible [4–7]. Since then, DO has been widely used as a treatment method to generate the bone, and to fill the skeletal defects, or to correct congenital growth retardation of the bone tissue [5, 8, 9]. In MRA, DO method is a new solution to the tissue lengthening and it is getting a higher clinical attention as a technique without the need for bone graft.…”

Section: Introductionmentioning

confidence: 99%

Continuous distraction osteogenesis device with MAAC controller for mandibular reconstruction applications

Hatefi

Yihun

et al. 2019

BioMed Eng OnLine

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Background Distraction osteogenesis (DO) is a novel technique widely used in human body reconstruction. DO has got a significant role in maxillofacial reconstruction applications (MRA); through this method, bone defects and skeletal deformities in various cranio-maxillofacial areas could be reconstructed with superior results in comparison to conventional methods. Recent studies revealed in a DO solution, using an automatic continuous distractor could significantly improve the results while decreasing the existing issues. This study is aimed at designing and developing a novel automatic continuous distraction osteogenesis (ACDO) device to be used in the MRA. Methods The design is comprised of a lead screw translation mechanism and a stepper motor, placed outside of the mouth to generate the desired continuous linear force. This externally generated and controlled distraction force (DF) is transferred into the moving bone segment via a flexible miniature transition system. The system is also equipped with an extra-oral ACDO controller, to generate an accurate, reliable, and stable continuous DF. Results Simulation and experimental results have justified the controller outputs and the desired accuracy of the device. Experiments have been conducted on a sheep jaw bone and results have showed that the developed device could offer a continuous DF of 38 N with distraction accuracy of 7.6 nm on the bone segment, while reducing the distraction time span. Conclusion Continuous DF with high resolution positioning control, along with the smaller size of the distractor placed in the oral cavity will help in improving the result of the reconstruction operation and leading to a successful DO procedure in a shorter time period. The developed ACDO device has less than 1% positioning error while generating sufficient DF. These features make this device a suitable distractor for an enhanced DO treatment in MRA.

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Mandibular Distraction Osteogenesis With Newly Designed Electromechanical Distractor

Cited by 11 publications

References 32 publications

Review of automatic continuous distraction osteogenesis devices for mandibular reconstruction applications

Review of automatic continuous distraction osteogenesis devices for mandibular reconstruction applications

Impact of surgical innovation on tissue repair in the surgical patient

Continuous distraction osteogenesis device with MAAC controller for mandibular reconstruction applications

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