Engineered bone grafts and bone flaps for maxillofacial defects: state of the art.

PURPOSE This article focuses on the use of tissue-engineering techniques for the reconstruction of bone defects in the maxillofacial region. METHODS AND RESULTS A comprehensive and critical analysis of the literature showed that tissue-engineering procedures are effective in both animal studies and clinical case series. At the same time, it is clear that much work remains before these techniques can be used routinely in the clinical situation. CONCLUSION This review highlights areas that require further investigation, and proposes several solutions to make tissue-engineering procedures available for maxillofacial reconstruction in the near future.

[1]  G. Ian Taylor,et al.  The versatile deep inferior epigastric (inferior rectus abdominis) flap , 1984 .

[2]  Wei Guo,et al.  Experimental Study on Reconstruction of Segmental Mandible Defects Using Tissue Engineered Bone Combined Bone Marrow Stromal Cells With Three-Dimensional Tricalcium Phosphate , 2007, The Journal of craniofacial surgery.

[3]  H. Burchardt The biology of bone graft repair. , 1983, Clinical orthopaedics and related research.

[4]  Wei Liu,et al.  Repair of canine mandibular bone defects with bone marrow stromal cells and porous beta-tricalcium phosphate. , 2007, Biomaterials.

[5]  M. Beppu,et al.  The Lateral Upper Arm Flap: Anatomy and Clinical Applications , 1984, Annals of plastic surgery.

[6]  G. Iannetti,et al.  LeFort III Advancement with and without Osteogenesis Distraction , 2006, The Journal of craniofacial surgery.

[7]  J. F. Osborn,et al.  Hydroxyapatite ceramic as a bone substitute , 2004, International Orthopaedics.

[8]  H. Eufinger,et al.  Growth and transplantation of a custom vascularised bone graft in a man , 2004, The Lancet.

[9]  N. Olivari The latissimus flap. , 1976, British journal of plastic surgery.

[10]  M. Mastrogiacomo,et al.  Reconstruction of extensive long bone defects in sheep using resorbable bioceramics based on silicon stabilized tricalcium phosphate. , 2006, Tissue engineering.

[11]  D. Soutar,et al.  The Radial Forearm Flap in Intraoral Reconstruction: The Experience of 60 Consecutive Cases , 1986, Plastic and reconstructive surgery.

[12]  M. Wells,et al.  Mandibular reconstruction using vascularized bone grafts , 1996 .

[13]  S. Gronthos Reconstruction of human mandible by tissue engineering , 2004, The Lancet.

[14]  A. Boyde,et al.  Osteoconduction in large macroporous hydroxyapatite ceramic implants: evidence for a complementary integration and disintegration mechanism. , 1999, Bone.

[15]  Stefan Wolfart,et al.  Man as living bioreactor: fate of an exogenously prepared customized tissue-engineered mandible. , 2006, Biomaterials.

[16]  J. Mulliken,et al.  Donor-site morbidity after harvesting rib and iliac bone. , 1984, Plastic and reconstructive surgery.

[17]  V. Goldberg,et al.  Osteogenic potential of culture-expanded rat marrow cells as assayed in vivo with porous calcium phosphate ceramic. , 1991, Biomaterials.

[18]  M. Ueda,et al.  Translational Research for Injectable Tissue-Engineered Bone Regeneration Using Mesenchymal Stem Cells and Platelet-Rich Plasma: From Basic Research to Clinical Case Study , 2004, Cell transplantation.

[19]  Three-dimensional composites manufactured with human mesenchymal cambial layer precursor cells as an alternative for sinus floor augmentation: an in vitro study. , 2005 .

[20]  U Kneser,et al.  Tissue engineering of bone: the reconstructive surgeon's point of view , 2006, Journal of cellular and molecular medicine.

[21]  Paolo Giannoni,et al.  A tissue engineering approach to bone repair in large animal models and in clinical practice. , 2007, Biomaterials.

[22]  K. Harii Clinical application of free omental flap transfer. , 1978, Clinics in plastic surgery.

[23]  J. Vacanti,et al.  Tissue engineering : Frontiers in biotechnology , 1993 .

[24]  V. Goldberg,et al.  The Effect of Implants Loaded with Autologous Mesenchymal Stem Cells on the Healing of Canine Segmental Bone Defects* , 1998, The Journal of bone and joint surgery. American volume.

[25]  M A Pogrel,et al.  A comparison of vascularized and nonvascularized bone grafts for reconstruction of mandibular continuity defects. , 1997, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[26]  G A Ilizarov,et al.  The tension-stress effect on the genesis and growth of tissues: Part II. The influence of the rate and frequency of distraction. , 1989, Clinical orthopaedics and related research.

[27]  Revascularized tissue transfer for the repair of complex midfacial defects in oncologic patients. , 2000, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[28]  S Jepsen,et al.  Mandibular reconstruction with a prefabricated vascularized bone graft using recombinant human osteogenic protein-1: an experimental study in miniature pigs. Part I: Prefabrication. , 2001, International journal of oral and maxillofacial surgery.

[29]  T. Gao,et al.  Producing Vascularized Bone by Heterotopic Bone Induction and Guided Tissue Regeneration: A Silicone Membrane‐Isolated Latissimus Dorsi Island Flap in a Rat Model , 1997, Journal of reconstructive microsurgery.

[30]  H. Reddi,et al.  Tissue transformation into bone in vivo. A potential practical application. , 1991, JAMA.

[31]  A Boyde,et al.  Autologous bone marrow stromal cells loaded onto porous hydroxyapatite ceramic accelerate bone repair in critical-size defects of sheep long bones. , 2000, Journal of biomedical materials research.

[32]  R. Schmelzeisen,et al.  Tissue-engineered bone for maxillary sinus augmentation. , 2004, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[33]  F. Kloss,et al.  [Distraction osteogenesis in the midface. Indications, technique and first long-term results]. , 2003, Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia.

[34]  M. Albanese,et al.  Osteodistraction in the craniofacial region. , 2005, Minerva stomatologica.

[35]  Wei Wu,et al.  Köpek mandibulasındaki defekti tamir etmek üzere kemik iliğinden elde edilen osteoblastların poroz beta-trikalsiyum fosfat içine tohumlanması , 2006 .

[36]  A. Meunier,et al.  Tissue-engineered bone regeneration , 2000, Nature Biotechnology.

[37]  Total mandibular and lower lip reconstruction with a prefabricated osteocutaneous free flap. , 1999 .

[38]  James S. Brown,et al.  Deep circumflex iliac artery free flap with internal oblique muscle as a new method of immediate reconstruction of maxillectomy defect , 1996, Head & neck.

[39]  H Terheyden,et al.  Prefabrication of vascularized bone grafts using recombinant human osteogenic protein-1--part 3: dosage of rhOP-1, the use of external and internal scaffolds. , 2004, International journal of oral and maxillofacial surgery.

[40]  E. Tsiridis,et al.  Transformation of a prefabricated hydroxyapatite/osteogenic protein-1 implant into a vascularised pedicled bone flap in the human chest. , 2006, International journal of oral and maxillofacial surgery.

[41]  H. Yamamoto,et al.  Immunostaining of human amniotic epithelial cells: possible use as a transgene carrier in gene therapy for inborn errors of metabolism. , 1995, Cell transplantation.

[42]  Ch'en Hc,et al.  Fibular osteoseptocutaneous flap: anatomic study and clinical application. , 1986 .