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Review of Physical Stimulation Techniques for Assisting Distraction Osteogenesis in Maxillofacial Reconstruction Applications Publisher Pubmed



Hatefi S1, 9 ; Alizargar J2 ; Le Roux F3, 8 ; Hatefi K4 ; Etemadi Sh M5 ; Davids H6 ; Hsieh NC7 ; Smith F3, 8 ; Abouelhossein K1, 9
Authors
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Authors Affiliations
  1. 1. Precision Engineering Laboratory, Nelson Mandela University, Port Elizabeth, South Africa
  2. 2. Research Center for Healthcare Industry Innovation, National Taipei University of Nursing and Health Sciences, Taipei, 112, Taiwan
  3. 3. Department of Mechatronics Engineering, Nelson Mandela University, Port Elizabeth, South Africa
  4. 4. Department of Electrical and Computer Engineering, Isfahan University of Technology, Isfahan, Iran
  5. 5. Department of Oral and Maxillofacial Surgery, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Department of Physiology, Nelson Mandela University, Port Elizabeth, South Africa
  7. 7. Department of Information Management, National Taipei University of Nursing and Health Sciences, Taipei, 112, Taiwan
  8. 8. Department of Mechatronics Engineering, Nelson Mandela University, Port Elizabeth, South Africa
  9. 9. Precision Engineering Laboratory, Nelson Mandela University, Port Elizabeth, South Africa

Source: Medical Engineering and Physics Published:2021


Abstract

Distraction Osteogenesis (DO) is an emerging limb lengthening method for the reconstruction of the hard tissue and the surrounding soft tissue, in different human body zones. DO plays an important role in treating bone defects in Maxillofacial Reconstruction Applications (MRA) due to reduced side effects and better formed bone tissue compared to conventional reconstruction methods i.e. autologous bone graft, and alloplast implantation. Recently, varying techniques have been evaluated to enhance the characteristics of the newly formed tissues and process parameters. Promising results have been shown in assisting DO treatments while benefiting bone formation mechanisms by using physical stimulation techniques, including photonic, electromagnetic, electrical, and mechanical stimulation technique. Using assisted DO techniques has provided superior results in the outcome of the DO procedure compared to a standard DO procedure. However, DO methods, as well as assisting technologies applied during the DO procedure, are still emerging. Studies and experiments on developed solutions related to this field have been limited to animal and clinical trials. In this review paper, recent advances in physical stimulation techniques and their effects on the outcome of the DO treatment in MRA are surveyed. By studying the effects of using assisting techniques during the DO treatment, enabling an ideal assisted DO technique in MRA can be possible. Although mentioned techniques have shown constructive effects during the DO procedure, there is still a need for more research and investigation to be done to fully understand the effects of assisting techniques and advanced technologies for use in an ultimate DO procedure in MRA. © 2021
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