DISTRACTION OSTEOGENESIS OF A UNILATERAL HYPOPLASTIC MANDIBLE
Abstract
Summary: Distraction osteogenesis (DO) is a surgical process in which two bony segments aregradually separated so new soft tissue and bone will form between them by applying tension through a
fixation device. There are three phases to this process: latency phase, distraction phase, and
consolidation phase. The technique was originally applied to long bones but in recent years the method
has been adapted for use in maxillofacial surgery. Distraction osteogenesis is a new variation of more
traditional; orthognathic surgical procedures which can be applied for the correction of dento-facial
deformities and syndromes of the jaws, treating upper airway obstruction in paediatric patients with
mandibualr retrognathia, due to tongue collapse and physical obstruction in the hypopharangeal region.
It is an effective and powerful reconstructive surgical technique, which can be performed safely without
the need of bone graft or blood transfusion. We present treatment of a child with severe facial
asymmetry after unilateral TMJ ankylosis corrected by distraction osteogenesis.
References
Dale A Baur. Distraction Osteogenesis of the Mandible. 2009.
Robiony, Massimo. Distraction Osteogenesis: A Method to
Improve Facial Balance in Asymmetric Patients.
Michael Miloro. Mandibular Distraction Osteogenesis for
Pediatric Airway Management (23rd april 210)
Sadakah AA. Intraoral distraction osteogenesis for the correction
of facial deformities following temporomandibular joint
ankylosis: a modified technique. 2006.
Michael Meehan. Virtual 3D Planning and Guidance of
Mandibular Distraction Osteogenesis.
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