Simultaneous maxillo-mandibular distraction osteogenesis in hemifacial microsomia: a new technique using two distractors

Plastic and Reconstructive Surgery
Paolo ScolozziBertrand Jaques

Abstract

The goal of this study was to prospectively evaluate the use of two distractors for a simultaneous maxillo-mandibular distraction osteogenesis without the use of intermaxillary fixation in the restorative treatment of hemifacial microsomia. The authors analyzed the clinical and radiological data of five patients with type I hemifacial microsomia (one patient), type IIa hemifacial microsomia (two patients), and Goldenhar syndrome (two patients). Follow-up examinations were performed at 1, 3, 6, and 12 months. All the patients had satisfactory correction of the facial asymmetry without complications. Complete horizontalization of the occlusal plane was achieved in three patients, whereas a cant of 2 degrees persisted in two patients. None of the children in this study were noncompliant with the prescribed duration of the active distraction period, nor did they experience technical problems with the two devices. Simultaneous maxillo-mandibular distraction osteogenesis resulted in a high rate of success in correcting facial asymmetry as well as occlusal plane cant. It offered good aesthetic satisfaction.

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Citations

Oct 7, 2010·Pediatric Radiology·Elodie SenggenFrançois Gudinchet
Mar 7, 2012·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Yoshiaki SakamotoTakenobu Ishii
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Aug 9, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Ting-Chen LuPhilip Kuo-Ting Chen
Oct 8, 2016·Facial Plastic Surgery Clinics of North America·Kathleyn A Brandstetter, Krishna G Patel
Mar 20, 2018·The Journal of Craniofacial Surgery·Oswaldo Javir Gómez DíazLuz Elena Rueda Gallardo
Mar 5, 2008·Plastic and Reconstructive Surgery·Andrew T C Ow, Lim K Cheung
Oct 10, 2009·The Journal of Craniofacial Surgery·Zhiyong ZhangLai Gui
Jan 25, 2019·The Journal of Craniofacial Surgery·Elaine DongEdward P Buchanan
Mar 1, 2019·The Journal of Craniofacial Surgery·Nicholas SinclairAntonio Rampazzo
Sep 6, 2012·The Journal of Craniofacial Surgery·Hisao OgataKazuo Kishi
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Nov 3, 2020·The Journal of Craniofacial Surgery·Marek A PaulAnna Chrapusta

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