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Abstract
The use of distraction osteogenesis in the hypoplastic maxilla and midface is still
controversial. Since the beginning of 1998, 25 patients have been treated with osteodistraction
techniques for various reasons. Among them were four patients who were treated by
high LeFort I osteotomies and insertion of a newly developed subcutaneous distraction
device in the malar region. Distraction osteogenesis was successful in all four cases
resulting in a mean sagittal bone gain of 12.0 mm (range 7–14) at the level of distractor
fixation. All patients were kept under orthodontic supervision during osteodistraction.
The final occlusal relation was satisfactory. Cephalometric measurements after distraction
showed an anterior rotational movement of the midface region. As the question of relapse
and further growth is still not clear, Delaire masks are used to stabilize the surgical
result after removal of the distractor. The importance of long-term follow-up is stressed.
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References
References
- Lengthening the human mandible by gradual distraction.Plast Reconstr Surg. 1992; 89: 1-8
- Distraction osteogenesis of the mandible using a submergedintraoral device: a report of three cases.J Oral Maxillofac Surg. 1999; 57: 192-198
- Mandibular elongation andremodeling by distraction: a farewell to major osteotomies.Plast Reconstr Surg. 1995; 96: 825-840
- Distraction osteogenesis in complex syndromal disease. 2nd International Congress on Cranial and Facial Bone Distraction Processes. Monduzzi Editore, Bologna1999 (p. 107–111)
Klein, C, Potentials and limitations of distraction osteogenesis in the craniofacial skeleton. 2nd International Congress on Cranial and Facial Bone Distraction Processes, Bologna, Monduzzi Editore, 1999, 281, 289
Wiltfang, J, Kessler, P, Schultze-Mosgau, S, Merten, H, A, Günther, G, Continuous bone distraction with the help of a microhydraulic cylinder. 2nd International Congress on Cranial and Facial Bone Distraction Processes, Bologna, Monduzzi Editore, 1999, 35, 4
- Maxillary-midface distraction in children with cleft lip and palate: a preliminary report.Plast Reconstr Surg. 1997; 99: 1421-1428
- Distraction osteogenesis of the maxilla – additionally oralternatively to Le Fort-osteotomies. 2nd International Congress on Cranial and Facial Bone Distraction Processes. Monduzzi Editore, Bologna1999 (p. 181–186)
- The principles of the Ilizarov method.Bull Hosp Jt Dis. 1997; 56: 49-53
- Management of severe maxillarydeficiency in childhood and adolescence through distractionosteogenesis with an external, adjustable, rigid distraction device.J Craniofac Surg. 1997; 8: 181-185
- Distraction osteogenesis in maxillofacial surgery using internal devices: review of five cases.J Oral Maxillofac Surg. 1996; 54: 45-53
Bell, W, H, Modern practice in orthognathic and reconstructive surgery, Vol 3. Philadelphia, WB Saunders, 1992
- Histomorphometry of distraction osteogenesis in a caprinetibial lengthening model.J Bone Miner Res. 1998; 13: 1-9
- A CT scan technique for quantitative volumetric assessment of the mandible after distraction osteogenesis.Plast Reconstr Surg. 1997; 99: 1237-1247
- Distraction osteogenesisof the human craniofacial skeleton: initial experience with anew distraction system.J Craniofac Surg. 1995; 6: 368-374
- Experimental and clinical experience with distraction osteogenesis.Cleft Palate Craniofac J. 1994; 31: 473-481
- Le Fort III advancement with gradualdistraction using internal devices.Plast Reconstr Surg. 1997; 100: 819-830
- Intraoral widening and lengthening of the mandible in baboons bydistraction osteogenesis.J Oral Maxillofac Surg. 1999; 57: 548-562
- Strain-related bone remodeling indistraction osteogenesiss of the mandible.Plast ReconstrSurg. 1999; 103: 800-807
- Lengthening of the mandible by distraction osteogenesis: report of cases.J Oral Maxillofac Surg. 1995; 53: 838-846
Albanese, M, Nocini, P, F, Wangerin, K, Histological examination of osteogenetic tissue obtained one year after distraction of the mandible. 2nd International Congress on Cranial and FacialBone Distraction Processes, Bologna, Monduzzi Editore, 1999, 29, 3
- Floating bone concept in mandibular distraction.Int J Oral Maxillofac Surg. 1999; 28: 90
- Biomechanics of mandibular distractor orientation: an animal model analysis.J Oral Maxillofac Surg. 1999; 57: 952-962
Article info
Publication history
Accepted:
September 2,
2000
Received:
February 9,
2000
Identification
Copyright
© 2001 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
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Access this article on ScienceDirectLinked Article
- Erratum: Distraction osteogenesis of the maxilla and midface using a subcutaneous device: report of four casesBritish Journal of Oral and Maxillofacial SurgeryVol. 39Issue 2
