Technical Notes
Technical considerations in distraction osteogenesis

https://doi.org/10.1054/ijom.2003.0462Get rights and content

Abstract

Five cases are presented to exemplify technical difficulties and complications which may be encountered when performing distraction osteogenesis in the facial skeleton. The procedure should be performed under close supervision by the surgical and orthodontic colleagues. Errors in the choice of vector may be managed by earlier removal of the distractor and subsequent traction on the previously osteotomized segments using orthodontic appliances and principles. Multiple distractors may be inserted in the same jaw and bimaxillary procedures are possible, increasing the likelihood of encountering technical difficulties. Detailed planning and close follow-up, with early recognition and active management of the complications, may be useful in ensuring a successful outcome of this versatlie procedure.

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    Address: Mr Manfred A. A. Suhr FRCS (Edinburgh) FDSRCS (England), Department of Oral and Maxillofacial Surgery, Klinikum Nord, Tangstedter Landstrasse 400, 22417 Hamburg, Germany, Tel.: 0049-40-5271-3760; Fax: 0049-40-5271-3767; E-mail:[email protected]

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