Craniofacial distraction osteogenesis: a review of the literature. Part 1: clinical studies

A review of the literature dealing with distraction osteogenesis (DO) of the craniofacial skeleton, provided by a PUBMED search (National Library of Medicine, NCBI; revised 3 April 2000) from 1966 to December 1999 was conducted. Key words used in the search were distraction, lengthening, mandible, m...

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Veröffentlicht in:International Journal of Oral & Maxillofacial Surgery 2001-04, Vol.30 (2), p.89-103
Hauptverfasser: Swennen, Gwen, Schliephake, Henning, Dempf, Rupert, Schierle, Hannes, Malevez, Chantal
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container_issue 2
container_start_page 89
container_title International Journal of Oral & Maxillofacial Surgery
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creator Swennen, Gwen
Schliephake, Henning
Dempf, Rupert
Schierle, Hannes
Malevez, Chantal
description A review of the literature dealing with distraction osteogenesis (DO) of the craniofacial skeleton, provided by a PUBMED search (National Library of Medicine, NCBI; revised 3 April 2000) from 1966 to December 1999 was conducted. Key words used in the search were distraction, lengthening, mandible, mandibular, maxilla, maxillary, midface, midfacial, monobloc, cranial, craniofacial and maxillofacial. This search revealed 285 articles. One hundred and nine articles were clinically orientated and were analysed in detail in this study. The type of distraction, indications, age, type of surgery, distraction rates and rhythms, latency and contention periods, amount of lengthening, follow-up period, relapse, complications and the nature of the distraction device were analysed. This review revealed that 828 patients underwent DO of the craniofacial skeleton; 579 underwent mandibular DO, 129 maxillary DO, 24 simultaneous mandibular and maxillary DO and 96 midfacial and/or cranial DO. Craniofacial DO has proven to be a major advance for the treatment of numerous congenital and acquired craniofacial deformities. Treatment protocols and success criteria for craniofacial DO are suggested on the basis of these results. There is still, however, a lack of sufficient data, especially on follow-up and relapse, so that treatment strategies have to be validated by long-term studies in the future.
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The type of distraction, indications, age, type of surgery, distraction rates and rhythms, latency and contention periods, amount of lengthening, follow-up period, relapse, complications and the nature of the distraction device were analysed. This review revealed that 828 patients underwent DO of the craniofacial skeleton; 579 underwent mandibular DO, 129 maxillary DO, 24 simultaneous mandibular and maxillary DO and 96 midfacial and/or cranial DO. Craniofacial DO has proven to be a major advance for the treatment of numerous congenital and acquired craniofacial deformities. Treatment protocols and success criteria for craniofacial DO are suggested on the basis of these results. 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Orthodontics</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>mandible</topic><topic>Mandible - surgery</topic><topic>maxilla</topic><topic>Maxilla - surgery</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>midface</topic><topic>Osteogenesis, Distraction - adverse effects</topic><topic>Osteogenesis, Distraction - classification</topic><topic>Osteogenesis, Distraction - instrumentation</topic><topic>Osteogenesis, Distraction - methods</topic><topic>Postoperative Complications</topic><topic>Recurrence</topic><topic>Reproducibility of Results</topic><topic>Skull - surgery</topic><topic>success criteria</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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subjects Adolescent
Age Factors
Biological and medical sciences
Child
Child, Preschool
Clinical Protocols
cranial
Craniofacial Abnormalities - surgery
Dentistry
distraction
Facial Bones - surgery
Follow-Up Studies
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Longitudinal Studies
mandible
Mandible - surgery
maxilla
Maxilla - surgery
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
midface
Osteogenesis, Distraction - adverse effects
Osteogenesis, Distraction - classification
Osteogenesis, Distraction - instrumentation
Osteogenesis, Distraction - methods
Postoperative Complications
Recurrence
Reproducibility of Results
Skull - surgery
success criteria
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Time Factors
Treatment Outcome
treatment protocols
title Craniofacial distraction osteogenesis: a review of the literature. Part 1: clinical studies
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