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Órgano Oficial de la Asociación Dental Mexicana

1999, Number 3

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Rev ADM 1999; 56 (3)

Osteogenic mandibular distraction. A case report

Olmos AL, Yudovich M., Aguilar MP

Language: Spanish
References: 11
Page: 124-127
PDF size: 481.34 Kb.


ABSTRACT

Many elongation techniques based on the Ilizarov (1954) concepts have been developed, the purpose of these techniques is to elongate the mandibular body or ramus to correct the growth problems of the mandible, in congenital deformities, such as: hemifacial microsomia, craniofacial scoliosis, Pierre Robin, etc.
The elongations are done with a unidirectional or bi-directional, unilateral or bilateral distractor, using a flexible screw, made of stainless steel, with a 1 mm per day activation, under the supervision of the orthodontist to avoid a crossed or an open bite.
With these techniques we obtain the elongation of hard and soft tissues, with excellent functional and aesthetic results.


REFERENCES

  1. Ortiz MF, Molina F. Mandibular distracción en hemifacial microsomía. Plastic and Reconstructive Surgery 1992.

  2. Ortiz MF, Molina F. Mandibular elongation and remodeling by distraction: A fareweIl to major osteotomies. Plastic and Reconstructive Surgery 1995.

  3. Rodgers, Steven F. Hemifacial microsomia: Assessment of classification systems. Journal of Craniofacial Surgery 1991;(2): No 3

  4. Koban, Leonard B, Michel H. Moses. Surgical correction of hemifacial microsomia in the growing child. Plastic and Reconstructive Surgery 1988.

  5. Ilizarov GA et al. Some roentgenograph and morphologic data on bone tissue regeneration in distraction epiphysioscoliosis in experiment. Orto Traumatol Protol 1970; 31: 26.

  6. Ilizarov GA et al. Plastic reconstruction of longitudinal bone defects by means of compression and subsequent distraction. Acta Chir Plast 1980; 22: 32.

  7. Habal, Mutaz. New bone formation by biological rhythmic distraction. Journal of craniofacial surgery 1994; (5) No 5

  8. Snyder CC, Levine GA, Swanson HM et al. Mandibular lengthening by gradal distraction: Preliminary report. Plast Reconstr Surg 1973; 51: 506.

  9. McCormick, McCarthy. Effect of mandibular distraction on the temporomandibular joint: Part 1 Canine study. The Journal of Craniofacial Surgery 1995; (6) No 5. 9: 509, 1980.

  10. McCormick, McCarthy. Effect of mandibular distraction on the temporomandibular joint: Part 2 Clinical study. The Journal of Craniofacial Surgery 1995; (6) No 5

  11. Ortiz M. Early mandibular and maxillary osteotomies for correction of hemifacial microsomia. Clin Plast Surg.




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