Distraction Osteogenesis in Craniofacial Surgery: A Review

Tavakoli, Kourosh; Stewart, Kenneth J.; Poole, Michael D.

doi:10.1097/00000637-199801000-00020

Cited by 35 publications

(17 citation statements)

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“…An intraoral device has been reported as being successful in several cases. 13 The intraoral devices are smaller and lighter and may be more appropriate in the neonate or infant. Unfortunately, they are limited by their 1-dimensional movement at this time.…”

Section: Discussionmentioning

confidence: 99%

Mandibular Distraction Osteogenesis in a Neonate

Judge

Hamlar²,

Rimell³

1999

Arch Otolaryngol Head Neck Surg

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Children with craniofacial anomalies are predisposed to airway obstruction and frequently require airway intervention. Tracheotomy is performed when the airway obstruction is severe and refractory to other less invasive interventions. Tracheotomy is associated with significant morbidity, and there is a trend noted in the literature toward achieving earlier decannulation by the institution of definitive structural changes to the mandible. Mandibular distraction osteogenesis has been shown to alleviate airway obstruction in the pediatric population. We report a case in which mandibular distraction osteogenesis was successfully carried out in a neonate with acute airway obstruction at birth as a result of combined Pierre Robin sequence and Klippel-Feil syndrome. After 1 year, the patient still had an adequate airway with tolerable scarring and no neurologic sequelae.

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Section: Discussionmentioning

confidence: 99%

Mandibular Distraction Osteogenesis in a Neonate

Judge

Hamlar²,

Rimell³

1999

Arch Otolaryngol Head Neck Surg

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“…As with DO there is simultaneous expansion of the functional soft-tissue matrix, a more normal functional matrix for succeeding growth is created 29,49 . The potential for bony regeneration is highest in younger individuals 28,49,50,85,87 . Difficulties of DO include the risk of damage to tooth buds and compliance required from the parents and infant during the distraction period 29,50,73 .…”

Section: Methodsmentioning

confidence: 99%

“…intraoral submerged distraction appliances 18,39,50,57,85,80,87 . Fifteen years of experience with DO in the facial skeleton and numerous studies regarding the technique and biology of DO have resulted in a variety of indications and a successful distraction protocol for the cranio-facial skeleton 42,43,50,74,87 .…”

mentioning

confidence: 99%

“…Fifteen years of experience with DO in the facial skeleton and numerous studies regarding the technique and biology of DO have resulted in a variety of indications and a successful distraction protocol for the cranio-facial skeleton 42,43,50,74,87 . It has been suggested that DO may have the potential to overcome the hazards associated with BSSO, and offers the possibility for surgical intervention at an earlier age.…”

mentioning

confidence: 99%

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Distraction osteogenesis versus bilateral sagittal split osteotomy for advancement of the retrognathic mandible: a review of the literature

Schreuder

Jansma

Bierman

et al. 2007

International Journal of Oral and Maxillofacial Surgery

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“…However, the technique is still in its infancy and requires further modification and refinement before it will be widespread accepted as a treatment in mainstream craniofacial surgery. Distraction osteogenesis is of increasing importance in craniofacial surgery [1].…”

Section: Introductionmentioning

confidence: 99%

Image-Based 3D Planning of Maxillofacial Distraction Procedures Including Soft Tissue Implications

Schutyser¹,

Cleynenbreugel²,

Ferrant

et al. 2000

Medical Image Computing and Computer-Assisted Intervention – MICCAI 2000

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Abstract. Osteodistraction, a technique for new bone formation by the gradual separation of bony fragments, is a possible treatment for dysplasia of the maxillofacial skeleton. However, preoperative assessment of the optimal distraction direction, of the osteotomy trajectory, and of the influence of this procedure on the outlook of a patient, is difficult to assess preoperatively. We report on an 3D image-based planning system for osteodistraction. Basically we adhere to a scene-based approach in which image derived visualizations and additional 3D structures are co-presented and manipulated. Osteotomy simulation with user-defined cutting trajectories, virtual distraction employing biomechanical models specific to the distraction type and evaluation tools based on a cephalometric reference frame, are available in our planning environment. According to the surgeon's findings, different choices can be redone in order to optimize the therapy. To account for soft tissue implications, skin tissue deformations are calculated using a finite element elastic model based on tetrahedral elements. We report on results in the field of unilateral mandibular distraction. A detailed overview of the planning procedure is given by a case study.

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Distraction Osteogenesis in Craniofacial Surgery: A Review

Cited by 35 publications

References 0 publications

Mandibular Distraction Osteogenesis in a Neonate

Mandibular Distraction Osteogenesis in a Neonate

Distraction osteogenesis versus bilateral sagittal split osteotomy for advancement of the retrognathic mandible: a review of the literature

Image-Based 3D Planning of Maxillofacial Distraction Procedures Including Soft Tissue Implications

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