849 results match your criteria Distraction Osteogenesis of the Maxilla


Midface correction in patients with Crouzon syndrome is Le Fort III distraction osteogenesis with a rigid external distraction device the gold standard?

J Craniomaxillofac Surg 2018 Dec 31. Epub 2018 Dec 31.

Department of Cranio- and Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany. Electronic address:

Introduction: Le Fort III distraction osteogenesis with a rigid external distraction device is a powerful procedure to correct both exorbitism and impaired airways in faciocraniosynostosis. The aim of this study was to investigate treatment effect, perioperative parameters and volumetric outcomes after Le Fort III distraction osteogenesis in patients with Crouzon syndrome in a retrospective study design and to explore potential strengths and weaknesses of this procedure.

Materials And Methods: From June 2013 to February 2015, a total of nine children with Crouzon syndrome underwent Le Fort III distraction osteogenesis with a rigid external distraction device (RED device, KLS Martin, Tuttlingen, Germany). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10105182183014
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http://dx.doi.org/10.1016/j.jcms.2018.11.028DOI Listing
December 2018
1 Read

The Elimination of Dental Crowding and Development of a Proper Dental Arch by Maxillary Anterior Segmental Distraction Osteogenesis for a Patient With UCLP.

Cleft Palate Craniofac J 2019 Jan 9:1055665618821831. Epub 2019 Jan 9.

1 Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Osaka University, Osaka, Japan.

Objective:: This report describes the case of a male patient with a complete unilateral cleft lip and palate who presented with midface deficiency and an anteroposteriorly constricted maxilla.

Design:: Case report Interventions: Correction involved anterior distraction of the segmented maxilla.

Results:: The present case demonstrates that elongation of the maxilla with anterior distraction is an effective way to develop a proper dental arch, correct anterior and posterior crowding, and improve a midface deficiency. Read More

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http://dx.doi.org/10.1177/1055665618821831DOI Listing
January 2019
1 Read

Surgery-First Orthognathic Surgery for Severe Facial Asymmetry Combined With Mandibular Distraction Osteogenesis Using a Three-Dimensional Internal Distractor.

J Craniofac Surg 2019 Jan;30(1):39-46

Department of Plastic, Reconstructive and Aesthetic Surgery, Tokyo Metropolitan Police Hospital.

Severe facial asymmetry in adults with hemifacial microsomia or other types of mandibular hypoplasia is challenging to treat with simultaneous maxillomandibular distraction osteogenesis using an external distractor combined with intermaxillary fixation (IMF). Using an external distractor also produces significant distress for patients for at least 8 weeks. Furthermore, mandibular-driven distraction tends to elongate the midface, with difficulty positioning of the center of the maxilla in the center of the face and horizontalization of the occlusal plane. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004929DOI Listing
January 2019
1 Read

Intraoral Premaxillary Distraction in a Patient With Maxillary Retrognathic Cleft Lip and Palate: A Case Report.

Cleft Palate Craniofac J 2018 Nov 19:1055665618813084. Epub 2018 Nov 19.

1 Department of Oral & Maxillofacial Surgery, Oral Science Research Institute, Yonsei University College of Dentistry, Seoul, South Korea.

Patients with cleft lip and palate sometimes have a retruded maxilla. Here, we describe the case of a young man in whom crowding of the maxillary teeth and an anteroposterior discrepancy of the maxilla were resolved by premaxillary distraction osteogenesis (DO) using 3 individual intraoral distractors. Our experience in this patient confirms that premaxillary DO with 3 intraoral distractors and preoperative simulation can achieve stable maxillary advancement and arch expansion without impairing velopharyngeal incompetence. Read More

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http://dx.doi.org/10.1177/1055665618813084DOI Listing
November 2018

A Technical Innovation in Midface Advancement With the External Frame Distraction Device.

Cleft Palate Craniofac J 2018 Oct 30:1055665618807817. Epub 2018 Oct 30.

1 The Cleft & Craniofacial Centre, The Department of Plastic Surgery, Sri Ramachandra University Medical College, Chennai, Tamil Nadu, India.

Background:: Maxillary advancement with a rigid external distractor (RED) II is a commonly performed procedure for correcting midface hypoplasia. While there are various methods of anchoring the osteotomized maxillary segment to the halo device, the looped transpyriform wire is the simplest and most cost-effective. However, a common complication with this is the cutting through of the stainless steel traction wire across the pyriform buttress during distraction. Read More

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http://dx.doi.org/10.1177/1055665618807817DOI Listing
October 2018

Multidisciplinary treatment of two patients with cleft lip and palate using archwise distraction: A case report.

J Stomatol Oral Maxillofac Surg 2018 Aug 22. Epub 2018 Aug 22.

Department of Orthodontics, Faculty of Dentistry, Ege University, 35040 Izmir, Turkey. Electronic address:

Distraction osteogenesis is usually performed in cleft lip and palate patients with severe maxillary sagittal discrepancies, considering the stability of surgical maxillary advancement and the limited complications of velopharyngeal valve insufficiency. Moreover, interdental distraction osteogenesis is a successful treatment protocol for repairing large clefts. Herein, we report a multidisciplinary approach for the treatment of two patients with cleft lip and palate using an archwise distraction appliance (AWDA). Read More

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http://dx.doi.org/10.1016/j.jormas.2018.08.004DOI Listing

Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients.

Cochrane Database Syst Rev 2018 08 10;8:CD010403. Epub 2018 Aug 10.

Department of Orthodontics and Dentofacial Orthopedics, School of Dental Medicine, University of Bern, Freiburgstrasse 7, Bern, Switzerland, 3010.

Background: Cleft lip and palate is one of the most common birth defects and can cause difficulties with feeding, speech and hearing, as well as psychosocial problems. Treatment of orofacial clefts is prolonged; it typically commences after birth and lasts until the child reaches adulthood or even into adulthood. Residual deformities, functional disturbances, or both, are frequently seen in adults with a repaired cleft. Read More

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http://dx.doi.org/10.1002/14651858.CD010403.pub3DOI Listing
August 2018
12 Reads

Adjustable selective maxillary expansion combined with one-stage maxillomandibular surgery: A prospective study of osseous widening in fifty-five consecutive patients.

J Craniomaxillofac Surg 2018 Sep 14;46(9):1408-1420. Epub 2018 May 14.

Department of Maxillofacial and Plastic Surgery, Robert Ballanger Hospital, Aulnay-sous-Bois, France; HUPSSD, CHU avicenne, APHP Bobigny France, France. Electronic address:

Objective: SARME is often considered to be the only available treatment for significant or severe maxillary transverse palatal deficiencies (MTD) in skeletally-mature patients. Despite this observation, the aim of our study was to assess a new type of maxilla distraction osteogenesis. Using two innovative tools, we performed selective expansion: the site to be widened and the amount of increase were both pre-selected. Read More

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http://dx.doi.org/10.1016/j.jcms.2018.05.013DOI Listing
September 2018
13 Reads

Modified Lefort Distraction Osteogenesis for the Treatment of Nager Syndrome-Associated Midface Hypoplasia: Technique and Review.

J Craniofac Surg 2018 Sep;29(6):e621-e623

Division of Plastic and Reconstructive Surgery, School of Medicine, University of Utah, Salt Lake City, UT.

The surgical management of midface hypoplasia in the setting of Nager syndrome remains a significant challenge for craniofacial surgeons. This study describes a novel technique using distraction osteogenesis and modified osteotomies for the treatment of midface bony defects in an 11-year-old child with Nager syndrome.Presurgical 3-dimensional planning was performed to design the osteotomies and placement of distractors. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004713DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116787PMC
September 2018
8 Reads

Rehabilitation of Posterior Maxilla with Obturator Supported by Zygomatic Implants.

Case Rep Dent 2018 23;2018:3437417. Epub 2018 Apr 23.

Department of Periodontics, Government Dental College (RUHS-CODS), Jaipur, India.

Prosthetic rehabilitation of atrophic maxilla and large maxillary defects can be done successfully by zygomatic implant-supported prosthesis. Zygomatic implants are an avant-garde to complex and invasive-free vascularised osteocutaneous flaps, distraction osteogenesis, and the solution to flap failures. A treated case of tuberculous osteomyelitis, with a class II (Aramany's classification) maxillary defect, reported to oral maxillofacial department, Government Dental College (RUHS-CODS). Read More

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http://dx.doi.org/10.1155/2018/3437417DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937606PMC
April 2018
2 Reads

Proptosis Correction in Pre-Adolescent Patients With Syndromic Craniosynostosis by Le Fort III Distraction Osteogenesis.

J Craniofac Surg 2018 Sep;29(6):1535-1541

Wyss Department of Plastic Surgery, New York University Langone Medical Center, New York, New York.

Le Fort III distraction osteogenesis may be indicated in the treatment of syndromic craniosynostosis with severe midface retrusion and proptosis. This study assesses the stability of proptosis correction over 10-years.A retrospective review identified 15 patients with syndromic craniosynostosis treated by Le Fort III distraction prior to age 10 (9 males, 6 females; age 4. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004608DOI Listing
September 2018
4 Reads

Management of Severely Atrophic Maxilla in Ectrodactyly Ectodermal Dysplasia-cleft Syndrome.

Plast Reconstr Surg Glob Open 2018 Feb 27;6(2):e1678. Epub 2018 Feb 27.

Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel; and Department of Orthodontics and Cleft Palate, Rambam Health Care Campus, Haifa, Israel.

Background: Ectrodactyly ectodermal dysplasia-cleft syndrome is a rare genetic syndrome with an incidence of 1/90,000 live births, characterized by cleft lip and palate, severely hypoplastic maxilla, and hypodontia. Patients diagnosed with ectrodactyly ectodermal dysplasia-cleft syndrome suffer from a severely hypoplastic maxilla that is highly difficult to treat using traditional orthognathic methods. In this study, we propose using distraction osteogenesis to achieve a major advancement while maintaining good stability and minimal relapse. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001678DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5865928PMC
February 2018
4 Reads

Implant based rehabilitation options for the atrophic edentulous jaw.

Authors:
K R Spencer

Aust Dent J 2018 Mar;63 Suppl 1:S100-S107

Melbourne Oral & Maxillofacial Surgeon, Melbourne, Victoria, Australia.

The atrophic and edentulous jaw can pose a number of challenges for the implant clinician. In simple terms, the amount of bone that remains is insufficient for the conventional placement of a dental implant. A variety of treatment strategies can be employed to enable implants to be placed despite the paucity of bone stock in either the mandible or the maxilla. Read More

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http://dx.doi.org/10.1111/adj.12595DOI Listing

Orthodontic and orthopedic treatment for a growing patient with Tessier number 0 cleft.

Korean J Orthod 2018 Mar 6;48(2):113-124. Epub 2018 Feb 6.

Dental Research Institute, Seoul National University, Seoul, Korea.

The purpose of this case report was to introduce the concept of orthodontic and orthopedic treatment for a growing patient with Tessier number 0 cleft. A 5-year-old boy patient with Tessier number 0 cleft presented congenitally missing maxillary central incisors (MXCI), a bony defect at the premaxilla, a constricted maxillary arch, an anterior openbite, and maxillary hypoplasia. His treatment was divided into three stages: management of the bony defect at the premaxilla and the congenitally missing MXCIs using a fan-type expansion plate, iliac bone grafting, and eruption guidance of the maxillary lateral incisors into the graft area for substitution of MXCIs; management of the maxillary hypoplasia using sequential facemask therapy with conventional and skeletal anchorage; and management of the remaining occlusal problems using fixed orthodontic treatment. Read More

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http://dx.doi.org/10.4041/kjod.2018.48.2.113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854881PMC
March 2018
6 Reads

Anterior Maxillary Segmental Distraction Osteogenesis for Treatment of Maxillary Hypoplasia in Patients With Repaired Cleft Palate.

J Craniofac Surg 2018 Jul;29(5):e480-e484

College of Stomatology, GuangXi Medical University, Nanning Guangxi, P.R. China.

Objective: This study is to present experiences of using anterior maxillary segmental distraction osteogenesis (AMSDO) with internal distractors for treatment of maxillary hypoplasia in patients with repaired cleft palate.

Materials And Methods: A total of 42 patients of maxillary hypoplasia with repaired cleft palate were included in this study, and underwent AMSDO. Cephalometric analysis and speech quality assessments were performed to evaluate the changes after AMSDO and its long-term effect on stability. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004499DOI Listing
July 2018
1 Read

Reconstruction of Complex Facial Asymmetry: Problems and Refinements.

J Craniofac Surg 2018 Jul;29(5):1193-1198

Division of Plastic Surgery, Department of Surgery, School of Medicine, National University of Colombia, Bogotá, Colombia.

This article describes 2 patients with complex facial asymmetry characterized by hemiarhinia, microorbitism, palpebral fissure shortening, ipsilateral canthal dystopia, maxillomandibular hypoplasia, and occlusal plane inclination. These unusual phenotypes are part of the oculoauriculo-vertebral spectrum. Their devastating functional, esthetic, and psychologic effects demand the use of different craniofacial surgery techniques, in order to alleviate the profound impact of these pathologies. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004503DOI Listing
July 2018
2 Reads

Efficacy of Maxillary Anterior Segmental Distraction Osteogenesis in Patients With Cleft Lip and Palate.

Cleft Palate Craniofac J 2018 Nov 13;55(10):1375-1381. Epub 2018 Mar 13.

1 Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Osaka University, Osaka, Japan.

Objectives: To evaluate the effects of maxillary anterior segmental distraction osteogenesis (MASDO) in patients with cleft lip and palate (CLP) and to identify risk factors for increased relapse.

Design: A retrospective study.

Patients: Thirty-one Japanese patients with CLP who underwent MASDO were eligible for study inclusion. Read More

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http://dx.doi.org/10.1177/1055665618758692DOI Listing
November 2018
4 Reads

Maxillary Hypoplasia With Congenital Oligodontia Treated by Maxillary Distraction Osteogenesis.

J Craniofac Surg 2018 Jun;29(4):e411-e414

Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

It is known that congenitally missing teeth can often cause differences in craniofacial morphology; however, there are few reported cases of orthognathic surgical treatment for these patients. Herein, the authors report a rare case of maxillary hypoplasia with congenital oligodontia treated by maxillary distraction osteogenesis with internal device. A 17-year-old male presenting with multiple tooth agenesis and maxillary recession was referred to our hospital for orthognathic surgical treatment. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004414DOI Listing
June 2018
6 Reads

Long-Term Skeletal Changes After Maxillary Distraction Osteogenesis in Growing Children With Cleft Lip/Palate.

Authors:
Kai Liu Nuo Zhou

J Craniofac Surg 2018 Jun;29(4):e349-e352

Department of Oral and Maxillofacial Surgery, College of Stomatology, GuangXi Medical University, Nanning Guangxi, China.

Purpose: To systematically evaluate the skeletal changes after maxillary distraction osteogenesis (DO) in growing patients with cleft lip with or without cleft palate (CL/P).

Materials And Methods: Electronic databases, gray literature, and reference list searches were conducted. Articles reporting prospective and retrospective studies that included patients <16 years old (N ≥ 6) who had received DO surgery for correction of a midfacial hypoplasia due to CL/P, and the period of follow-up persisted >1 year were reviewed. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004294DOI Listing
June 2018
2 Reads

Tooth-borne distraction osteogenesis versus conventional Le Fort I in maxillary advancement of cleft lip and palate patients.

Minerva Stomatol 2018 Jun 31;67(3):117-124. Epub 2018 Jan 31.

Unit of Orthodontics, Multidisciplinary Department of Medical-Surgical and Dental Specialties, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy.

Background: Distraction osteogenesis (DO) is rapidly becoming a mainstream surgical technique for correction of maxillary deficiency. The aim of this study was to compare the effectiveness of a newly designed tooth-borne osteogenic distraction device with conventional Le Fort 1 osteotomy in maxillary advancement of cleft lip and palate patients.

Methods: The DO group consisted of 10 subjects (7 males, 3 females) with a mean age of 21. Read More

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http://dx.doi.org/10.23736/S0026-4970.18.04121-3DOI Listing
June 2018
3 Reads

Postoperative Complications Following LeFort 1 Maxillary Advancement Surgery in Cleft Palate Patients: A 5-Year Retrospective Study.

Cleft Palate Craniofac J 2018 02 14;55(2):231-237. Epub 2017 Dec 14.

3 Queen Elizabeth Hospital Birmingham, Birmingham, England, United Kingdom.

Objective: To investigate the postoperative complication rates of LeFort 1 maxillary advancement surgery in cleft patients when performed by a single surgeon over a 5-year period.

Design: A retrospective case note review of 79 cleft palate patients.

Setting: All surgery was performed by a single oral and maxillofacial surgeon in a tertiary care center. Read More

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http://journals.sagepub.com/doi/full/10.1177/105566561773677
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http://dx.doi.org/10.1177/1055665617736778DOI Listing
February 2018
8 Reads

Development of a new three-directional distractor system for the correction of maxillary transverse and sagittal deficiency.

J Craniomaxillofac Surg 2018 Mar 18;46(3):424-431. Epub 2017 Dec 18.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Bezmialem Vakıf University, İstanbul, Turkey.

Purpose: Class 3 malocclusions with maxillary deficiency, which are treated surgically and/or ordonotically, are common among adult patients. The aim of this study was to develop a three-directional bone-borne distractor that would allow the transverse expansion and sagittal advancement of the maxilla simultaneously.

Materials And Methods: Computed tomography images of a patient with maxillary deficiency were transmitted to a software program, and a distractor was designed with different sizes (D1, D2, D3) and manufactured from titanium alloy. Read More

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http://dx.doi.org/10.1016/j.jcms.2017.12.010DOI Listing
March 2018
5 Reads

Use of repeat anterior maxillary distraction to correct residual midface hypoplasia in cleft patients.

J Korean Assoc Oral Maxillofac Surg 2017 Dec 26;43(6):407-414. Epub 2017 Dec 26.

Richardsons Dental and Craniofacial Hospital, Nagercoil, India.

Objectives: The study was designed to evaluate the efficacy of performing a second, repeat anterior maxillary distraction (AMD) to treat residual cleft maxillary hypoplasia.

Materials And Methods: Five patients between the ages of 12 to 15 years with a history of AMD and with residual cleft maxillary hypoplasia were included in the study. Inclusion was irrespective of gender, type of cleft lip and palate, and the amount of advancement needed. Read More

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http://dx.doi.org/10.5125/jkaoms.2017.43.6.407DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5756798PMC
December 2017
4 Reads

Treatment of Severe Maxillary Hypoplasia With Combined Orthodontics and Distraction Osteogenesis.

J Craniofac Surg 2018 Jun;29(4):970-972

Department of Orthodontics, Vita Salute, San Raffaele University.

Distraction osteogenesis (DO) is a technique that allows the generation of new bone in a gap between 2 vascularized bone surfaces in response to the application of graduated tensile stress across the bone gap.Distraction osteogenesis has become a routine treatment of choice to correct skeletal deformities and severe bone defects in the craniofacial complex over the past decade. Distraction osteogenesis has been successfully chosen in lengthening the maxilla and the mandible; in the maxilla and recently in the mandible, the jawbones have been distracted and widened transversely to relieve severe anterior dental crowding and transverse discrepancies between the dental arches. Read More

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http://Insights.ovid.com/crossref?an=00001665-201806000-0003
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http://dx.doi.org/10.1097/SCS.0000000000004223DOI Listing
June 2018
17 Reads

A comprehensive management protocol to treat cleft maxillary hypoplasia.

J Craniomaxillofac Surg 2018 Feb 13;46(2):356-361. Epub 2017 Dec 13.

Richardson's Dental and Craniofacial Hospital, Nagercoil, Tamil nadu, India. Electronic address:

Aim: To describe a comprehensive management protocol to treat cleft maxillary hypoplasia specific to the patient's age, degree of hypoplasia and presence or absence of velopharyngeal incompetence (VPI).

Materials And Methods: A total of 359 patients suffering from cleft maxillary hypoplasia were retrospectively studied from January 2004 till June 2015. Lateral cephalograms were taken to assess the degree of deformity and advancement achieved at three intervals. Read More

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http://dx.doi.org/10.1016/j.jcms.2017.12.005DOI Listing
February 2018
4 Reads

Is Bone Morphogenetic Protein-2 as Effective as Alveolar Distraction Osteogenesis for Vertical Bone Regeneration?

J Oral Maxillofac Surg 2018 Apr 29;76(4):752-760. Epub 2017 Nov 29.

Nobel Biocare Endowed Chair, School of Dentistry, University of California-Los Angeles, Los Angeles, CA.

Purpose: The aim of this study was to assess the clinical effectiveness of alveolar distraction osteogenesis (ADO) versus recombinant human bone morphogenetic protein-2 (rh-BMP-2) for vertical ridge augmentation. Few data have been published on vertical bone regeneration using rh-BMP-2.

Materials And Methods: The authors implemented a retrospective cohort study and enrolled a sample composed of patients with deficient alveolar vertical bone height. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02782391173143
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http://dx.doi.org/10.1016/j.joms.2017.11.016DOI Listing
April 2018
10 Reads

Changes in maxillofacial morphology and velopharyngeal function with two-stage maxillary distraction-mandibular setback surgery in patients with cleft lip and palate.

Int J Oral Maxillofac Surg 2018 Mar 14;47(3):357-365. Epub 2017 Nov 14.

Department of Oral and Maxillofacial Surgery, Dentistry and Orthodontics, University of Tokyo Hospital, Tokyo, Japan.

Maxillary distraction is increasingly used for the correction of severe maxillary retrusion in patients with cleft lip and palate. However, control of the maxillary movement is difficult, and the need to wear visible distractors for a long period of time causes psychosocial problems. A two-stage surgical approach consisting of maxillary distraction and mandibular setback was developed to overcome these problems. Read More

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http://dx.doi.org/10.1016/j.ijom.2017.10.017DOI Listing
March 2018
8 Reads

Treatment of Maxillary Hypoplasia in Cleft Lip and Palate: Segmental Distraction Osteogenesis With Hyrax Device.

J Craniofac Surg 2018 Mar;29(2):411-414

Hospital San Borja Arriarán, Santiago, Chile.

The objective of this work is to describe a segmental maxillary distraction osteogenesis (SDO) with segmental Lefort I with an inexpensive device.Four patients who presented severe class III and maxillary hypoplasia due to cleft lip and palate sequel were treated. A SDO was performed using a dental-anchored Hyrax device, achieving enlargement of the upper jaw without altering speech, with adequate and stable occlusion. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004118DOI Listing
March 2018
13 Reads

Can Use of Rigid Fixation After Consolidation Increase Stability in Cleft Patients Following Distraction Osteogenesis?

J Oral Maxillofac Surg 2018 Jun 16;76(6):1309-1315. Epub 2017 Oct 16.

Resident of Oral and Maxillofacial Surgery, Hamburg University Medical Center, Hamburg, Germany.

Purpose: The stability of distraction osteogenesis (DO) is an important issue in maxillary advancement for patients with cleft lip and palate (CLP). The aim of this study was to evaluate postoperative stability in patients with and without internal fixation after removing maxillary distraction devices.

Materials And Methods: This randomized clinical trial assessed patients with CLP who needed maxillary advancement greater than 6 mm; they were randomly assigned to 1 of 2 groups. Read More

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http://dx.doi.org/10.1016/j.joms.2017.10.008DOI Listing
June 2018
16 Reads

Nasopharyngoscopic Analyses through Anterior Maxillary Distraction Osteogenesis for Adolescent Patients With Cleft Palate.

J Craniofac Surg 2018 Mar;29(2):270-274

Department of Plastic and Reconstructive Surgery.

Anterior maxillary distraction osteogenesis (AMDO) is a novel technique for correcting hypoplastic maxilla by sagittal expansion of the maxilla. Recent reports suggest that AMDO does not have an effect on fragile velopharyngeal function in patients with cleft palate. Furthermore, no studies have evaluated the impact of AMDO on velopharyngeal function. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004095DOI Listing
March 2018
15 Reads

[Comparative biomechanical study of surgically assisted rapid palatal expansion with tooth-borne and bone-borne expanders].

Stomatologiia (Mosk) 2017;96(5):48-55

First Pavlov State Medical University of Saint-Petersburg, Saint-Petersburg, Russia.

The study objective was to compare the biomechanics of surgically assisted rapid palatal expansion (SARPE) with tooth-borne and bone-borne expanders. Materials include a sample of 54 cone-beam CT of 27 patients who underwent SARPE (bone-borne, n=21; tooth-borne, n=6) before treatment and at expander removal. Expansion efficacy was estimated by interapecal and intercoronal distances between maxillary canines, premolars and first molars as well as Coronal-Apical Index (CAI = coronal expansion (mm)/apical expansion (mm)). Read More

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http://www.mediasphera.ru/issues/stomatologiya/2017/5/downlo
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http://dx.doi.org/10.17116/stomat201796548-55DOI Listing
July 2018
6 Reads

Five-Year Follow-Up of Midface Distraction in Growing Children with Syndromic Craniosynostosis.

Plast Reconstr Surg 2017 12;140(6):794e-803e

New York, N.Y. From the Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center.

Background: Maxillary position in patients with syndromic craniosynostosis after midface distraction has been shown to be stable 1 year postoperatively. The purpose of this study is to assess midfacial position in the growing child with craniosynostosis 5 years after Le Fort III advancement with a rigid external device.

Methods: Seventeen consecutive patients were identified to have the diagnosis of syndromic craniosynostosis and had undergone midface advancement [corrected]. Read More

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http://dx.doi.org/10.1097/PRS.0000000000003879DOI Listing
December 2017
11 Reads

Two-stage reconstruction of the severely deficient alveolar ridge: bone graft followed by alveolar distraction osteogenesis.

Int J Oral Maxillofac Surg 2018 Jan 10;47(1):117-124. Epub 2017 Aug 10.

Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center, Haifa, Israel. Electronic address:

Distraction osteogenesis for the augmentation of severe alveolar bone deficiency has gained popularity during the past two decades. In cases where the vertical bone height is not sufficient to create a stable transport segment, performing alveolar distraction osteogenesis (ADO) is not possible. In these severe cases, a two-stage treatment protocol is suggested: onlay bone grafting followed by ADO. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09015027173154
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http://dx.doi.org/10.1016/j.ijom.2017.07.007DOI Listing
January 2018
32 Reads

Maxillomandibular advancement as the initial treatment of obstructive sleep apnoea: Is the mandibular occlusal plane the key?

Int J Oral Maxillofac Surg 2017 Nov 29;46(11):1363-1371. Epub 2017 Jul 29.

Oral and Maxillofacial Department, Pneumology Department, Neurophysiology Department, Instituto de Investigación Hospital Universitario de la Princesa (IISP), Autónoma University, Madrid, Spain.

Maxillomandibular advancement (MMA) can be effective for managing obstructive sleep apnoea (OSA); however, limited information is available on the predictor surgical variables. This study investigated whether normalization of the mandibular occlusal plane (MOP) was a determinant factor in curing OSA. Patients with moderate or severe OSA who underwent MMA were evaluated by preoperative and postoperative three-dimensional (3D) scans and polysomnograms. Read More

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http://dx.doi.org/10.1016/j.ijom.2017.07.003DOI Listing
November 2017
20 Reads

Transport distraction osteogenesis combined with orthodontic treatment.

Am J Orthod Dentofacial Orthop 2017 08;152(2):144

Chandigarh, India.

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http://dx.doi.org/10.1016/j.ajodo.2017.05.004DOI Listing
August 2017
4 Reads

Study of Distracted Bone in Maxilla: A Comparative Analysis.

J Maxillofac Oral Surg 2017 Sep 8;16(3):347-355. Epub 2017 Feb 8.

Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Mangalore, 575 018 India.

Introduction: Anterior maxillary distraction is one of the accepted modalities to treat hypoplastic maxilla. The study was undertaken to assess the maturation of the bone formed, which is measured by analyzing the amount of mineralization of the bone.

Materials And Methods: For the study 29 patients were chosen, who were divided into three groups. Read More

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http://dx.doi.org/10.1007/s12663-017-0997-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5493563PMC
September 2017
4 Reads

Maxillary Distraction Osteogenesis in Unilateral Cleft Lip and Palate Patients with Rigid External Distraction System.

Ann Maxillofac Surg 2017 Jan-Jun;7(1):57-63

Department of Orthodontics, University of Alabama, Birmingham, Alabama, USA.

Aim: Distraction osteogenesis (DO) is a treatment option for patients with maxillary hypoplasia secondary to cleft lip and palate (CLP).

Purpose: The aim of this study is to present a technique for maxillary DO using Le Fort I osteotomy with rigid external distraction (RED) system.

Subjects And Methods: The patient presented in this paper was an Asian female with CLP aged 13 years and 6 months. Read More

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http://dx.doi.org/10.4103/ams.ams_174_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502517PMC
July 2017
23 Reads

Treatment of Micrognathia by Intraoral Distraction Osteogenesis: A Prospective Study.

Ann Maxillofac Surg 2017 Jan-Jun;7(1):37-44

Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Chennai, Tamil Nadu, India.

Purpose: Maxillofacial deformities are always psychologically and physically distressing to the patients and is also challenging to the treating surgeons. The term Micrognathia means a "small jaw". True micrognathia, where the maxilla or the mandibular skeleton does not grow to the full size can be congenital or acquired. Read More

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http://dx.doi.org/10.4103/ams.ams_181_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502513PMC
July 2017
9 Reads

Simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia: Report of 7 cases.

J Oral Biol Craniofac Res 2017 May-Aug;7(2):147-152. Epub 2017 May 7.

Dept. of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

Introduction: The goal in treating Hemifacial microsomia (HFM) is to improve facial symmetry, allow functional jaw movement, obtain stable occlusion, and achieve patient satisfaction. This study was planned with an aim to assess the outcome of simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia.

Material & Methods: Seven patients with hemifacial microsomia were included in this study and demographic data was obtained. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22124268173006
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http://dx.doi.org/10.1016/j.jobcr.2017.04.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5497390PMC
May 2017
9 Reads

Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients with High Arched Palate.

Otolaryngol Head Neck Surg 2017 08 4;157(2):345-348. Epub 2017 Jul 4.

5 Section of Pediatric Dentistry, Division of Growth and Development, UCLA School of Dentistry, Los Angeles, California, USA.

A narrow maxilla with high arched palate characterizes a phenotype of obstructive sleep apnea (OSA) patients that is associated with increased nasal resistance and posterior tongue displacement. Current maxillary expansion techniques for adults are designed to correct dentofacial deformity. We describe distraction osteogenesis maxillary expansion (DOME) tailored to adult patients with OSA with narrow nasal floor and high arched palate without soft tissue redundancy. Read More

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http://journals.sagepub.com/doi/10.1177/0194599817707168
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http://dx.doi.org/10.1177/0194599817707168DOI Listing
August 2017
97 Reads

Three-Dimensional Reconstruction of Post-Traumatic Deficient Anterior Maxilla.

J Oral Maxillofac Surg 2017 Dec 15;75(12):2689-2700. Epub 2017 May 15.

Deputy Head, Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center, Haifa; Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Purpose: Maxillary retrognathism appears in 14.3% of patients exhibiting malocclusion after trauma treatment. This report describes the application of alveolar distraction osteogenesis (ADO) for treating the severely deficient anterior maxilla after trauma injuries in the vertical and anteroposterior planes. Read More

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http://dx.doi.org/10.1016/j.joms.2017.05.006DOI Listing
December 2017
8 Reads

Alar Pinning in Rigid External Distraction for Midfacial Hypoplasia.

Ann Plast Surg 2017 Sep;79(3):275-279

From the *Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine in St Louis, St Louis, MO; and †Department of Plastic and Reconstructive Surgery, The Warren Alpert Medical School of Brown University, Providence, RI.

Background: Distraction osteogenesis with a rigid external distractor is a widely accepted treatment for midfacial hypoplasia. In this study, the authors introduce the utilization of alar pinning with the external halo distractor for maxillary advancement, in place of an oral splint.

Methods: A retrospective chart review was conducted of 7 patients who successfully underwent distraction osteogenesis using the alar pinning technique. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001113DOI Listing
September 2017
18 Reads

Alternative Distraction Osteogenesis Technique After Implant Placement for Alveolar Ridge Augmentation of the Maxilla.

J Oral Maxillofac Surg 2017 Jul 18;75(7):1402.e1-1402.e8. Epub 2017 Mar 18.

Assistant Professor, Christus University Center, School of Dentistry, Fortaleza; PhD Student, Federal University of Ceara School of Dentistry, Fortaleza, Brazil.

An alternative technique to reconstruct atrophic alveolar vertical bone after implant placement is presented. The technique consists of distraction osteogenesis or direct surgical repositioning of an implant-and-bone block segment after segmental osteotomies that can be used in esthetic or unesthetic cases. Initially, casts indicating the implant position are obtained and the future ideal prosthetic position is determined to guide the model surgery. Read More

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http://dx.doi.org/10.1016/j.joms.2017.03.007DOI Listing
July 2017
11 Reads

Reconstruction of a Post Traumatic Anterior Maxillary Defect by Transport Distraction Osteogenesis.

J Maxillofac Oral Surg 2017 Mar 17;16(1):118-122. Epub 2015 Nov 17.

CMDC (SC), Pune, India.

Rehabilitation of segmental defects of maxilla presents a reconstructive challenge to obtain an ideal osseous form and height with adequate soft tissue investment. Though variety of prosthetic and surgical reconstructive options like the use of vascularized and non vascularized bone grafts are available they produce less than optimal results. Bone transport distraction is a reliable procedure in various maxillofacial bony defect reconstruction techniques. Read More

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http://dx.doi.org/10.1007/s12663-015-0861-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5328860PMC
March 2017
7 Reads

Versatility of Fibula Free Flap in Reconstruction of Facial Defects: A Center Study.

J Maxillofac Oral Surg 2017 Mar 9;16(1):101-107. Epub 2016 Jun 9.

Department of Oral and Maxillofacial Surgery, Bhagwan Mahaveer Jain Hospital, 104, Shalimar Residency, Flat No. 103, First Floor, Second Main Road, Sheshadripuram, Bengaluru, Karnataka 560 020 India.

Purpose: To study a series of cases where vascularised fibula flap was used in various combinations of bone with muscle and skin along with its modifications for reconstruction of simple and composite defects of the facial region.

Patients And Methods: The investigators designed a retrospective study composed of patients with any pathology or defect who underwent reconstruction of maxilla or mandible with vascularised fibula free flap from 2009 to 2013. All patients were evaluated for age, gender, location and type of defect, incorporation of adjoining skin paddle and muscle, number of fibula osteotomies, ischaemia time, anticoagulant regimen, length of hospital stay, flap failure rate, dental implant rehabilitation. Read More

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http://dx.doi.org/10.1007/s12663-016-0930-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5328874PMC
March 2017
7 Reads

[Possibilities and limits of orthodontico-surgical treatments in case of macrodontia].

Authors:
Christian Paulus

Orthod Fr 2017 Mar 23;88(1):15-23. Epub 2017 Feb 23.

Introduction: Tooth-arch discrepancy is a disproportion between dental volume and bone base. Extraction therapy can be a solution in case of excessive tooth volume and insufficient basal bone length. Techniques including bone distraction popularized by Ilizarov in the fifties allow the increase of the basal arch length in the maxilla as well as in the mandible. Read More

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http://www.orthodfr.org/10.1051/orthodfr/2016040
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http://dx.doi.org/10.1051/orthodfr/2016040DOI Listing
March 2017
10 Reads

Comparison of soft-tissue changes in simultaneous maxillomandibular distraction with mandibular distraction with second-stage maxillary osteotomy.

Indian J Dent Res 2016 Nov-Dec;27(6):643-647

Balaji Dental and Craniofacial Hospital, Chennai, Tamil Nadu, India.

Background: The purpose of this study was to compare the frontal lip cant changes in common facial asymmetry (FA) cases after simultaneous maxillomandibular distraction osteogenesis (DO) and mandibular DO with maxillary orthognathic surgery.

Materials And Methods: Retrospective analysis of FA cases at tertiary craniofacial referral was performed. Patients of either gender with all medical imaging records and pre- and post-operative (1 year) facial photographs in natural head position were included in the study. Read More

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http://dx.doi.org/10.4103/0970-9290.199604DOI Listing
January 2018
4 Reads

Midfacial Changes Through Anterior Maxillary Distraction Osteogenesis in Patients With Cleft Lip and Palate.

J Craniofac Surg 2017 Jun;28(4):1057-1062

*Tohoku University Hospital, Maxillo-Oral Disorders, Sendai †Department of Orthodontics, School of Dental Medicine, Tsurumi University, Yokohama ‡Department of Oral Dysfunction Science, Tohoku University Graduate School of Dentistry §Department of Plastic and Reconstructive Surgery, Tohoku University Graduate School of Medicine ||Tsutsujigaoka Dental Clinic, Sendai, Japan.

Maxillary hypoplasia is a major issue in cleft lip and palate patients, and predictable surgical maxillary advancement is required. In the present study, the changes and stability of the maxilla and soft tissue profile achieved after the application of anterior maxillary distraction osteogenesis (AMDO) using intraoral expander in unilateral cleft lip and palate and isolated cleft palate patients were investigated by comparing to the Le Fort I osteotomy (LFI) and maxillary distraction osteogenesis (DO) with rigid external distraction (RED) system.Ten patients who underwent orthognathic treatment with AMDO were examined (AMDO group). Read More

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http://dx.doi.org/10.1097/SCS.0000000000003506DOI Listing
June 2017
42 Reads

Long-term results of maxillary distraction osteogenesis in nongrowing cleft: 5-years experience using internal device.

Bratisl Lek Listy 2016 ;117(12):685-690

Patients with cleft lip and palate (CLP) related deformities frequently have maxillary hypoplasia in all dimensions. These patients usually present with class III malocclusions, retruded midfaces and narrow hard palates. The skeletal problems can be treated by means of Le Fort I maxillary procedures. Read More

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http://dx.doi.org/10.4149/BLL_2016_134DOI Listing
August 2017
7 Reads

Measurement of Distraction Force in Cleft Lip and Palate Patients During Le Fort I Maxillary Advancement With Rigid External Distraction.

J Craniofac Surg 2017 Mar;28(2):406-412

*Maxillofacial Orthognathics, Graduate School, Tokyo Medical and Dental University, Tokyo †Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of the Ryukyus, Okinawa ‡Division of Pedodontics/Orthodontics, Department of Surgical Subspecialties, National Center for Child Health and Development, Tokyo, Japan.

Objective: Maxillary distraction osteogenesis (DO) is a mainstream surgical technique for patients who have severe maxillary hypoplasia associated with craniofacial syndromes and cleft-related deformities. However, limited information about the biomechanical aspects of maxillary DO is available limiting broad utilization and improvements to the procedure. The objective of this study was to analyze force levels during the active distraction process and to investigate the relationship between distraction force and maxillary movement during Le Fort I maxillary DO using a rigid external distraction (RED) system. Read More

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http://dx.doi.org/10.1097/SCS.0000000000003327DOI Listing
March 2017
11 Reads