Comparative evaluation of the mandibular distraction zone using ultrasonography and conventional radiography

Issar, Yuvraj; Sahoo, Nanda Kishore; Sinha, Ramen; Satija, Lovleen; Chattopadhyay, P. K.

doi:10.1016/j.ijom.2013.11.016

Cited by 7 publications

(3 citation statements)

References 16 publications

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“…The assessment of mandibular stability can be assessed clinically with gentle digital pressure and keen observation of oral and mandibular function in the clinic. Ultrasound could have a role here (Troulis et al, 2003; Issar et al, 2014). Further assessment of the bony infill can be undertaken clinically and radiologically if there is failure of eruption of deciduous teeth (Table 2).…”

Section: Discussionmentioning

confidence: 99%

Tessier 30 Facial Clefts—A Literature Review of 72 Cases (1996-2020), Suggested Treatment Protocol, Outcome Measures, Minimum Dataset for Future Case Reports, and Registries

Valk

Magill

Pellatt

et al. 2021

The Cleft Palate Craniofacial Journal

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Introduction: Tessier 30 facial cleft is a rare anomaly presenting in the soft and hard tissues over the central lower face. Owing to the rarity of cases and difficulty of treatment, there is no universally accepted surgical management strategy. The last comprehensive literature review of Tessier 30 clefts was in 1996. This report aims to update the literature to inform decision-making on treating Tessier 30 cases. Methodology: A literature search was performed. PubMed, SCOPUS, and OVID databases were searched. A total of 72 cases in 51 articles were analyzed, looking at demographics, extent of cleft, parent health, family history, procedures, follow-up, existence of other anomalies, and stages of repair. Results: Surgeons are increasingly choosing to repair Tessier 30 defects in one rather than multiple stages. Of the 72 cases studied, only 31 had documented the completed repair of the cleft. All completed soft tissue only defects were repaired in 1 stage of repair (n = 11). Where both soft tissue and mandible was involved (n = 20), 55% (n = 11) had undergone 1-stage repair to address the Tessier 30 cleft. Discussion: We argue that a single-stage approach is preferable to multistage. Primary mucogingivoperiosteoplasty should be undertaken in children at the time of management of the soft tissue cleft. The timing of this procedure should be in the latter half of the first year of life, as this is when mandibular symphyseal fusion normally occurs. We have suggested a treatment protocol and we hope that future case reports use our minimum data set.

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Section: Discussionmentioning

confidence: 99%

Tessier 30 Facial Clefts—A Literature Review of 72 Cases (1996-2020), Suggested Treatment Protocol, Outcome Measures, Minimum Dataset for Future Case Reports, and Registries

Valk

Magill

Pellatt

et al. 2021

The Cleft Palate Craniofacial Journal

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“…USG is an early indicator of callus mineralization and could be useful in ascertaining the timing of distractor removal [27]. We monitored callus maturation by USG and distractors were removed after 10 weeks of consolidation.…”

Section: Discussionmentioning

confidence: 99%

Distraction Osteogenesis for Management of Severe OSA in Pierre Robin Sequence: An Approach to Elude Tracheostomy in Infants

Sahoo¹,

Roy²,

Dalal

et al. 2016

J. Maxillofac. Oral Surg.

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Background Severe obstructive sleep apnoea (OSA) is a life threatening condition associated with Pierre Robin sequence (PRS) due to mandibular micrognathia and glossoptosis. Often these patients require tracheostomy at an early age which has high morbidity. Distraction osteogenesis (DO) is an accepted method of treatment for patients with hypoplastic mandible to achieve mandibular lengthening without need for a bone graft. It has also been used in respiratory distressed neonates and infants to avoid tracheostomy. Case report An eight month old baby, a diagnosed case of PRS with severe OSA and recurrent episodes of aspiration pneumonia and on nasogastric tube feeding since birth was referred to us for evaluation and possibility of therapeutic augmentation of the mandible by DO. After a thorough clinico-radiological assessment the child was operated for bilateral extraoral placement of horizontal corpus distractor. A total distraction of 12 mm was carried out and consolidation of callus was monitored by USG. Postoperatively the patient was followed up for 12 months. Presently she has normal respiratory and feeding function without any episode of aspiration pneumonia. Conclusion Mandibular corpus DO is a safe and effective technique that can be applied to predictably relieve severe upper airway obstruction in selected PRS cases. In order to avoid the limitations of alternative surgical procedures and the tracheostomy-associated morbidity, DO should be considered among the routine treatment modalities.

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“…На эффективность УЗИ для оценки формирования кости на ранних стадиях удлинения нижней челюсти у 22 больных указано в работе Y. Issar и соавт. (2014)[39]. К аналогичному выводу пришли и H. Selim и соавт.…”

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Modern Imaging Techniques for Evaluation of Distractional Regenerate Bone

Дьячков

Губин

Vasiliev

et al. 2019

Lučevaâ diagn. ter.

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The review presents the results of diagnostic imaging techniques for evaluation of distractional regenerate bone starting from classical polypositional radiography to modern imaging modalities such as magnetic resonance imaging and computed tomography. There are described the modifications of the known techniques for evaluation of regeneration bone with quantitative and qualitative analysis, the opinions of different authors about possibilities and problems of imaging practices. There are presented the problems and goals for more effective evaluation of new bone at different stages of limb lengthening with the focus on a wider application of modern imaging modalities at medical institutions. The review is based on dissertation work of K. A. Diachkov «Diagnostic imaging for detection of the rules of distractional regenerate bone formation and bone quality during limb lengthening». Literature review was performed using database of PubMed, Medline, Embase 12 Russian journals on traumatology and orthopaedics, diagnostic imaging 2007–2016. All articles on evaluation of distractional bone regeneration were reviewed.

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Comparative evaluation of the mandibular distraction zone using ultrasonography and conventional radiography

Cited by 7 publications

References 16 publications

Tessier 30 Facial Clefts—A Literature Review of 72 Cases (1996-2020), Suggested Treatment Protocol, Outcome Measures, Minimum Dataset for Future Case Reports, and Registries

Tessier 30 Facial Clefts—A Literature Review of 72 Cases (1996-2020), Suggested Treatment Protocol, Outcome Measures, Minimum Dataset for Future Case Reports, and Registries

Distraction Osteogenesis for Management of Severe OSA in Pierre Robin Sequence: An Approach to Elude Tracheostomy in Infants

Modern Imaging Techniques for Evaluation of Distractional Regenerate Bone

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