Resorbable Distraction of the Mandible
- 1 May 2008
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in The Journal of Craniofacial Surgery
- Vol. 19 (3), 637-643
- https://doi.org/10.1097/scs.0b013e31816b6c8f
Abstract
The author has used various designs of single-stage resorbable distractors to lengthen the mandible in 100 patients aged 7 days to 16 years (mean, 4.24 y; 49 girls, 51 boys) with predictable results and minimal morbidity since 2002. The range of distraction was 15 to 30 mm (mean, 25.4 mm). Indications for surgery included mandibular hypoplasia associated with Pierre Robin sequence, craniofacial microsomia, Treacher Collins, and Nagers syndrome. The history of the development of resorbable polymers for use in craniofacial surgery and the evolution of distraction osteogenesis are reviewed. The melding of these 2 innovative technologies has led to the development of a new class of single-stage resorbable devices. These devices are quite different from the titanium distraction devices that have been used in clinical practice for more than 15 years. Through continued clinical application, the surgical methodology for resorbable distraction has been refined and simplified, although still-evolving continued experience with resorbable distraction has greatly decreased operative time and improved results.Keywords
This publication has 22 references indexed in Scilit:
- New Technique for Airway Correction in Neonates with Severe Pierre Robin SequenceThe Journal of Pediatrics, 2005
- Resorbable bone distraction: current status and future directionsClinics in Plastic Surgery, 2004
- Allongement et remodelage mandibulaire par distraction exobuccale. Une expérience de 277 casAnnales de Chirurgie Plastique Esthétique, 2001
- Degradation Characteristics of PLLA-PGA Bone Fixation DevicesThe Journal of Craniofacial Surgery, 1997
- Bioabsorbable Polymer Science for the Practicing SurgeonThe Journal of Craniofacial Surgery, 1997
- Early Experience With Biodegradable Fixation for Congenital Pediatric Craniofacial SurgeryThe Journal of Craniofacial Surgery, 1997
- Bioabsorbable polymers update: Degradation mechanisms, safety, and applicationJournal of Applied Biomaterials, 1995
- Lengthening the Human Mandible by Gradual DistractionPlastic and Reconstructive Surgery, 1992
- Bone Lengthening in the Craniofacial SkeletonAnnals of Plastic Surgery, 1990
- MANDIBULAR LENGTHENING BY GRADUAL DISTRACTIONPlastic and Reconstructive Surgery, 1973