Midfacial distraction without osteotomy using a transfacial pin and external devices

The Journal of Craniofacial Surgery
Edouard CoeugnietPhilippe Pellerin

Abstract

During the 1970s, frontofacial advancement revolutionized the treatment of severe facial stenosis. Unfortunately, this method was associated with significant morbidity due to the Le Fort III osteotomy, which creates a major communication between the frontocranial dead space and the nasal fossae. Midfacial distraction improves the complication rate by diminishing the size of this gap. The aim of our study was to present an original technique that uses external distraction frames and eliminates the need for Le Fort osteotomies. This innovative technique eliminates the gap between the skull and nose, thus avoiding related complications. Between 1997 and 2008, we operated on 17 patients presenting midfacial retrusion and maxillomandibular class III malocclusion. We performed classic fronto-orbital advancement. The only facial osteotomies are vertical cuts of both the lateral orbital wall and the zygomatic arch. The distraction device is then anchored posteriorly with a K-wire and anteriorly with a transfacial pin through the maxilla. Finally, the distraction is performed horizontally until a class II overcorrection is obtained. No life-threatening complications or mortalities occurred. In all cases, the midfacial retrusion was corr...Continue Reading

References

Dec 22, 1999·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D Marchac, E Arnaud
Jun 29, 2004·Clinics in Plastic Surgery·Fernando Molina
Sep 7, 2007·Plastic and Reconstructive Surgery·Eric ArnaudDominique Renier

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Citations

Aug 9, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Matthieu VinchonPatrick Dhellemmes
Nov 28, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Edouard CoeugnietMathieu Vinchon
Aug 9, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Giulio GaspariniSandro Pelo
Nov 28, 2013·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Humam SaltajiCarlos Flores-Mir
Feb 18, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Thomas D DobbsDavid Johnson
Sep 4, 2015·The Journal of Craniofacial Surgery·Robert NashMichelle Wyatt
Jul 16, 2013·The Journal of Craniofacial Surgery·Jesse A GoldsteinJesse A Taylor
Dec 9, 2017·The European Respiratory Journal·Athanasios G KaditisStijn Verhulst
Jan 7, 2017·The Journal of Craniofacial Surgery·Haizhou TongZhenmin Zhao
Jan 7, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Matthieu VinchonA Wolber
Sep 17, 2019·Neuro-Chirurgie·M Vinchon

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