Figure 3:

17-year-old patient with a lower facial deformity after resection of a dermoid fibroma of the left mandible in early childhood followed by microvascular fibular reconstruction at age 9 years (A and B), “upside-down insertion” and intraoperative testing of an alveolar ridge distraction device for vertical augmentation of the “neomandible” (C), OPTG 8 weeks after the end of activation with ongoing mineralization in the distraction zone (D), dental implants can be placed at time of device removal, and corresponding clinical situation (E). Hypertrophic scars have been resected during device insertion. Gradual expansion was helpful in the management of submandibular soft tissues.