Midfacial distraction osteogenesis of Crouzon syndrome with RED(Rigid External Distraction) system

RED(Rigid External Distraction) system을 이용한 Crouzon syndrome환자의 distraction osteogenesis

  • Lee, Yang-Ku (Department of Orthodontics, College of Dentistry, Seoul National University) ;
  • Choi, Jeong-Ho (Department of Orthodontics, College of Dentistry, Seoul National University) ;
  • Kim, Seok-Hwa (Department of Plastic Surgery, College of Medicine, Seoul National University) ;
  • Baek, Seung-Hak (Department of Orthodontics, College of Dentistry, Seoul National University) ;
  • Chang, Young-Il (Department of Orthodontics, College of Dentistry, Seoul National University)
  • 이양구 (서울대학교 치과대학 치과교정학교실) ;
  • 최정호 (서울대학교 치과대학 치과교정학교실) ;
  • 김석화 (서울대학교 의과대학 성형외과학교실) ;
  • 백승학 (서울대학교 치과대학 치과교정학교실) ;
  • 장영일 (서울대학교 치과대학 치과교정학교실)
  • Published : 2002.06.01

Abstract

Crouzon syndrome Is one of the craniofacial syndromes characterized by craniosynostosis, midfacial hypolpasia and ocular proptosis. Distraction osteogenesis is becoming Important technique to treat craniofacial dyplaisa. It has nuy advantages compared with standard orthognathic surgery. Maxillary distraction osteogenesis after Le Fort III osteotomy with the RED system presents successful maxillary protraction to Crouzon syndrome patient with severe maxillary deficiency. It also allows remarkable improvement of facial esthetics and respiratory functions.

Crouzon syndrome은 두 개융증, 상악골 형성부전증과 안구돌출증의 특징적인 제 가지 임상증상을 보이는 두개안면 증후군중 하나이다. 이러한 두개안면기형 환자를 치료하는 방법 중 요즘 점점 중요하게 떠오르는 방법이 distraction osteogenesis이다. 일반적인 악교정 수술에 비해 distraction osteogenesis는 여러 가지 장점이 존재한다. 심한 상악골 열 성장을 동반한 Crouzon syndrome환자의 상악골을 Le Fort III osteotomy후 RED system을 이용하여 성공적으로 전방 견인하여 심미 및 기능적으로 현저한 개선을 이룰 수 있었다.

Keywords

References

  1. Brad W. Neville, Oral and Maxillofacial pathology, W.B.Saunders Company, 1995: 36-7
  2. Karp NS, Thorne CH, McCarthy JG, Sissons HA. Bone lengthening in the craniofacial skeleton. Ann Plast Surg 1990 : 24 : 231-7 https://doi.org/10.1097/00000637-199003000-00007
  3. Ilizarov GA, The Tension -stress effect on the genesis and growth of tissue. Part I. The influence of stability of fixation and soft tissue preservation. Clin Orthop 1989 : 238 : 249-81
  4. Sydner CC, Levine GA, Swanson HM, et al. Mandibular lengthening by gradual distraction. Plast Reconstr Surg 1973 ; 51 : 506-8 https://doi.org/10.1097/00006534-197305000-00003
  5. McCarthy JG, Schreiber J, Karp N et al, Lengthening the human mandible by gradual distraction, Plast Reconstr Surg, 1992 : 89 : 1-8 https://doi.org/10.1097/00006534-199289010-00001
  6. Rachmiel A, Pottaric Z, Jackson IT, Sugihara T, Clayman L, Tops JS, et al. Midface advancement by gradual distraction. Br J Plast Surg 1993 ; 46 : 201-7 https://doi.org/10.1016/0007-1226(93)90169-C
  7. Altuna G, Walker DA, Freeman E. Surgically assisted rapid orthodontic lengthening of the maxilla in primates: a pilot study. Am J Orthod Dentofacial Orthoped 1995 ; 107 : 531-6 https://doi.org/10.1016/S0889-5406(95)70120-6
  8. Block MS, Cervini D, Chang A, Gottsegen GB. Anterior maxillary advancement using tooth-supported distraction osteogenesis. J Oral Maxfac Surg 1995; 53 : 561-5 https://doi.org/10.1016/0278-2391(95)90069-1
  9. Polley JW, Figueroa AA, Charbel FB, Berkowitz R, Reisberg D,Cohen M. Monobloc craniomaxillofacial distraction osteogenesis in a new-born with severe craniofacial synostosis : a preliminary report. J Cra-niofac Surg 1995 ; 6 : 421-3 https://doi.org/10.1097/00001665-199509000-00022
  10. Polley JW, Figueroa AA. Management of severe maxillary deficiency in childhood and adolescence through distraction osteogenesis with an external adjustable rigid distraction device. J Craniofac Surg 1997 ; 8: 181-5 https://doi.org/10.1097/00001665-199705000-00008
  11. Chin M, Toth BA. Distraction osteogenesis in maxillofacial surgery using internal devices : review of 5 cases. J Oral Maxfac Surg 1996 ; 54 : 45-53 https://doi.org/10.1016/S0278-2391(96)90303-1
  12. Cohen SR, Burstein FD, Stewart ME, Rathburn MA. Maxilary-midface distraction in children with cleft lip and palate: a preliminary report. Plast Reconstr Surg 1997 ; 99 : 1421-6 https://doi.org/10.1097/00006534-199704001-00036
  13. Cohen SR. Midface Distraction. Semin Orthod 1999 ; 5 : 52-8 https://doi.org/10.1016/S1073-8746(99)80043-7
  14. Figueroa AA, Polley JW, Management of severe cleft maxillary deficiency with distraction osteogenesis : Procedure and results. Am J Orthod Dentofacial Orthop 1999; 115 : 1-12 https://doi.org/10.1016/S0889-5406(99)70310-0
  15. Monila F. Distraction of Midface. Presented at the workshop on distraction of Craniofacial skeleton, New York University Medical Center, New York, NY, March 18-19, 1994
  16. Polley JW, Figueroa AA. Rigid external distraction: its application in cleft maxillary deformity. Plast Reconstr Surg 1998 Oct; 102(5) : 1360-72 https://doi.org/10.1097/00006534-199810000-00007
  17. Teuscher UM, A growth-related concept for skeletal Class II treat-ment, Am J Orthod 74 : 258, 1978
  18. Kong-Geun Lee, Young-Kyu Ryu, Young-Chel Park, David J. Rudolph, A study of holographic interferometry on the initial reaction of maxillofacial complex during protraction, Am J Orthod Dentofacial Orthop, 1997, 111. 6, 623-32 https://doi.org/10.1016/S0889-5406(97)70314-7
  19. Stanley Braun,Kong-Geun Lee,Harry L. Legan, 1999,A reexamination of various extraoral appliances in light of recent research findings, Angle Orthod, 69.1 81-4
  20. Joong-Gyu Ahn, Figueroa AA, Stanley Braun, Polley lW, Biome-chanical considerations in distraction of the osteotomized dentomaxil-lary complex, Am J Orthod Dentofacial Orthop 1999; 116 : 264-70 https://doi.org/10.1016/S0889-5406(99)70236-2
  21. Uemura T, Hayashi T, Satoh K et al. A case of improved obstructive sleep apnea by distraction osteogenesis for midface hypoplasia of an infantile Crouzon's syndrome. J Craniofac Surg 2001 Jan ; 12 : 73-7 https://doi.org/10.1097/00001665-200101000-00012
  22. Fearon JA, The LeFort III osteotomy: to distract or not to distract? Plast Reconstr Surg 2001 Apr 15 ; 107 : 1091-103