UNIGE document Scientific Article - Review
previous document  unige:19132  next document
add to browser collection
Title

Distraction osteogenesis in the management of severe maxillary hypoplasia in cleft lip and palate patients

Author
Published in Journal of Craniofacial Surgery. 2008, vol. 19, no. 5, p. 1199-1214
Abstract The aim of this study was to systematically review literature reporting on the use of external distraction osteogenesis (DO) and internal DO in the treatment of severe maxillary hypoplasia in cleft and palate patients. Literature research has been performed using the PubMed database of the National Library of Medicine and National Institutes of Health from 1966 to August 2007. We used cleft lip and palate and distraction osteogenesis as key words. Of the 104 articles found, we only considered the Anglo-Saxon literature, which reported on the correction of the maxillary hypoplasia with DO techniques. A total of 32 studies reported on anteroposterior external DO (27 studies on rigid external device and 5 on face mask), 17 studies reported on anteroposterior internal DO, and 3 studies reported on transverse internal DO have been retained for this review. Despite the heterogeneity and methodological limitations of most of the studies, results showed that external DO with rigid external device and internal DO resulted to be a more reliable and accurate technique than the face mask in the management of severe maxillary hypoplasia in patients with cleft lip and palate. The current review demonstrated that external and internal DO in the treatment of severe maxillary hypoplasia in cleft and palate patients (1) is a reproducible and valuable alternative to standard orthognathic surgery procedures, (2) allows for a global improvement in facial aesthetic, (3) allows a maxillary correction in patients during the period of mixed dentition, and (4) allows either for an unchanged or better velopharyngeal function.
Keywords Cleft Lip/*complications/surgeryCleft Palate/*complications/surgeryExternal FixatorsExtraoral Traction AppliancesHumansInternal FixatorsMaxilla/abnormalities/*surgeryMicrognathism/etiology/*surgeryOsteogenesis, Distraction/instrumentation/*methodsOsteotomy, Le Fort/instrumentation/methodsReconstructive Surgical Procedures/instrumentation/methodsVelopharyngeal Insufficiency/prevention & control
Identifiers
PMID: 18812842
Full text
Article - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research group Groupe Scolozzi Paolo (chirurgie maxillo-faciale et buccale) (896)
Citation
(ISO format)
SCOLOZZI, Paolo. Distraction osteogenesis in the management of severe maxillary hypoplasia in cleft lip and palate patients. In: Journal of Craniofacial Surgery, 2008, vol. 19, n° 5, p. 1199-1214. https://archive-ouverte.unige.ch/unige:19132

287 hits

2 downloads

Update

Deposited on : 2012-03-27

Export document
Format :
Citation style :