Distraction osteogenesis of the maxilla and midface using a subcutaneous device: report of four cases.

Distraction osteogenesis of the maxilla and midface using a subcutaneous device: report of four cases.
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使用皮下装置进行上颌骨和中面部牵引成骨:四例报告。

DOI:
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发表时间:
2001
影响因子:
1.8
通讯作者:
F. Neukam
F. Neukam
中科院分区:
医学4区
文献类型:
--
作者:
P. Kessler;J. Wiltfang;S. Schultze–Mosgau;U. Hirschfelder;F. Neukam

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在上颌骨和面中部发育不良的患者中应用牵张成骨术仍存在争议。自1998年初以来,25例患者因各种原因接受了骨牵引技术治疗。其中有4名患者接受了高位LeFort I截骨术并在颧骨区域插入了新开发的皮下牵引装置。在所有4例病例中,牵张成骨均获得成功,在牵张器固定节段的平均矢状骨增量为12.0 mm(范围7-14)。所有患者在骨牵引期间均在正畸监护下进行。最终咬合关系满意。牵引后的头影测量显示面中部区域向前旋转运动。由于复发和进一步生长的问题仍然不清楚,Delaire面罩用于在移除牵张器后稳定手术结果。强调了长期后续行动的重要性。
The use of distraction osteogenesis in the hypoplastic maxilla and midface is still controversial. Since the beginning of 1998, 25 patients have been treated with osteodistraction techniques for various reasons. Among them were four patients who were treated by high LeFort I osteotomies and insertion of a newly developed subcutaneous distraction device in the malar region. Distraction osteogenesis was successful in all four cases resulting in a mean sagittal bone gain of 12.0 mm (range 7-14) at the level of distractor fixation. All patients were kept under orthodontic supervision during osteodistraction. The final occlusal relation was satisfactory. Cephalometric measurements after distraction showed an anterior rotational movement of the midface region. As the question of relapse and further growth is still not clear, Delaire masks are used to stabilize the surgical result after removal of the distractor. The importance of long-term follow-up is stressed.
下颌牵张器定向的生物力学:动物模型分析。
DOI: 10.1016/s0278-2391(99)90017-4
发表时间: 1999
期刊: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
影响因子: --
作者:
Cope,JB;Samchukov,ML;Cherkashin,AM;Wolford,LM;Franco,P
通讯作者: Franco,P