Does functional appliance treatment truly improve stability of mandibular vertical distraction osteogenesis in hemifacial microsomia?

Meazzini, Maria Costanza; Mazzoleni, Fabio; Bozzetti, Alberto; Brusati, Roberto

doi:10.1016/j.jcms.2008.03.002

Cited by 27 publications

(14 citation statements)

References 23 publications

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“…a: Panoramic x-rays of a right type I HFM pre-distraction (T0) with a ratio between affected and non affected ramus of 66%; b: At end of distraction, right before the removal of the pins (Td); c: 13 years post distraction (Tlt) with a ratio between affected and non affected ramus of 63%. (Meazzini et al, 2008). The distraction devices were unidirectional, eight were single pin extraoral screws, six intraoral or intraextraoral devices.…”

Section: Methodsmentioning

confidence: 99%

Comparison of mandibular vertical growth in hemifacial microsomia patients treated with early distraction or not treated: Follow up till the completion of growth

Meazzini

Mazzoleni

Bozzetti

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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Section: Methodsmentioning

confidence: 99%

Comparison of mandibular vertical growth in hemifacial microsomia patients treated with early distraction or not treated: Follow up till the completion of growth

Meazzini

Mazzoleni

Bozzetti

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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“…Our patient is undergoing orthodontic treatment and may require surgical intervention to correct the residual deformity after completion of growth. Some authors recommend orthopedic forces which allow for a more stable occlusal plane and for a slower return of the mandibular vertical asymmetry, but it have mainly a dentoalveolar effect [5]. Therefore, the decision of applying an orthopedic force associated with distraction should be taken by surgeon and orthodontist together, taking in to consideration the advantages and the disadvantages of this treatment.…”

Section: Discussionmentioning

confidence: 99%

Distraction Osteogenesis of Mandible in Hemifacial Microsomia-A Case Report

Chummar¹

2016

OAJS

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“…Four unique retrospective studies met inclusion criteria for using OFA either before 26,36,37 or after MDO. 36 (Tables 3 and 5).…”

Section: Orthopaedic Functional Appliance (Ofa) In Conjunction With M...mentioning

confidence: 99%

“…24,25 Controversies exist regarding the role of OFA in the management of UCM. 26 The existing literature mainly consists of individual case reports with limited value to guide clinical decision-making.…”

Section: Introductionmentioning

confidence: 99%

Management of unilateral craniofacial microsomia with orthopaedic functional appliances: A systematic literature review

Aiyar,

Pedersen,

Resnick

et al. 2023

Orthod Craniofacial Res

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The study aimed to summarize current knowledge regarding the use of orthopaedic functional appliances (OFA) in managing unilateral craniofacial microsomia (UCM). The eligibility criteria for the review were (1) assessing use of OFA as a stand‐alone treatment and (2) using OFA in combination during or after MDO. The PICO (population, intervention, comparison and outcome) format formulated clinical questions with defined inclusion and exclusion criteria. No limitations concerning language and publication year were applied. Information sources: A literature search of Medline, Scopus, Embase, Cochrane Central Register of Controlled Trials, Web of Science databases without restrictions up to 30 September 2022. The risk of bias was assessed. According to Cochrane and PRISMA guidelines, two independent authors conducted data extraction. The level of evidence for included articles was evaluated based on the Oxford evidence‐based medicine database. Due to the heterogeneity of studies and insufficient data for statistical pooling, meta‐analysis was not feasible. Therefore, the results were synthesized narratively. A total of 437 articles were retrieved. Of these, nine met inclusion criteria: five assessing OFA and four assessing OFA during or after MDO. There is limited evidence to suggest that stand‐alone and combination treatment with OFA is beneficial for treating mild‐to‐moderate UCM‐related dentofacial deformities in short term. No studies assessed the burden of care. In the management of UCM, there is insufficient evidence supporting the efficacy of OFA as a stand‐alone treatment or when combined with MDO. Additionally, there is a lack of evidence regarding treatment protocols and the effect on the condyles and the TMJ. The study was registered at Prospero database number CRD42020204969.

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Does functional appliance treatment truly improve stability of mandibular vertical distraction osteogenesis in hemifacial microsomia?

Cited by 27 publications

References 23 publications

Comparison of mandibular vertical growth in hemifacial microsomia patients treated with early distraction or not treated: Follow up till the completion of growth

Comparison of mandibular vertical growth in hemifacial microsomia patients treated with early distraction or not treated: Follow up till the completion of growth

Distraction Osteogenesis of Mandible in Hemifacial Microsomia-A Case Report

Management of unilateral craniofacial microsomia with orthopaedic functional appliances: A systematic literature review

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