Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

SONOGRAPHIC CHANGE OF MANDIBULAR DISTRACTION OSTEOGENESIS

하악골 신장술의 초음파적 변화

  • Kim, Chul-Hwan (Department of Oral & Maxillofacial Surgery, College of Dentistry, Dankook Universiy)
  • 김철환 (단국대학교 치과대학 구강악안면외과학교실)
  • Published : 2007.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Distraction osteogenesis was pioneered by Ilizarov in the treatment of injured extremities. Its subsequent application to Oral and Maxillofacial Surgery has opened a new chapter in the treatment of facial deformity. Careful monitoring of the period of distraction and consolidation of the callus is important and has been well described. Complications, such as infection, haematoma and premature ossification, are difficult to diagnose and can compromise the outcome after the surgery. Too slow rate of distraction results in premature fusion of cortices and too rapid information of bone 'cyst' within the callus distraction. I experienced 2 patients of congenital unilateral mandibular hypoplasia, so called Hemifacial Microsomia. After distraction surgery, I evaluated callus formation of mandibular distraction with Ultrasound Sonography during distraction and consolidation period. Plain radiography, although it enables accurate measurement of the distraction gap, did not give sufficient detail to allow assessment of early stages of bone formation, But, ultrasound monitoring could enable continuous monitoring of the distraction gap without exposure to ionizing radiation and allow detection of fine detail, which may influence manipulation of the callus.

Keywords

References

  1. Ilizarov G: The tension-stress effect on the genesis and growth of tissues. Part 1 and 2. Clin Orthope 1989;238:253
  2. Pensler JM, Goldberg DP, Lindell B. et al: Skeletal distraction of the hypoplastic mandible. Ann Plast Surg 1995;34:130 https://doi.org/10.1097/00000637-199502000-00004
  3. Troulis MJ, Padwa B, Kaban LB: Distraction osteogenesis: Past, present and future. Fac Plast Surg 1998;14:205 https://doi.org/10.1055/s-2008-1064346
  4. F. Molina, Ortiz Monastero F: Mandibular elongation and remodeling by distraction: A farewell to major osteotomies. Plast Reconstr Surg 1995;96:825 https://doi.org/10.1097/00006534-199509001-00010
  5. Moore MH, Guzman-Stein G, Proudman TW, et al.: Mandibular lengthening by distraction for airway obstruction in Treacher-Collins syndrome. J Craniofac Surg 1994;5:22-26 https://doi.org/10.1097/00001665-199402000-00006
  6. Mofid MM, Manson PM, Robertson BC, et al.: Craniofacial distraction osteogenesis: A review of 3278 cases. Plast Reconstr Surg 2001;108:1103 https://doi.org/10.1097/00006534-200110000-00001
  7. Troulis MJ, Glowacki J, Perrott DH, et al.: Effects of latency and rate on bone formation in a porcine mandibular distraction model. J Oral Maxillofac Surg 2000;58:507 https://doi.org/10.1016/S0278-2391(00)90012-0
  8. Nicholls PJ, Berg E, Bliven FE, et al.: X-ray diagnosis of healing fractures in rabbits. Clin Orthop 1979;142:234
  9. Maffulli N, Hughes T, Fixsen JA: Ultrasonographic monitoring of limb lengthening. J Bone Joint Surg 1992;74(B):130
  10. Hughes TH, Mafulli N, Green V, et al.: Imaging in bone lengthening. Clin Orthop 1994;308:50
  11. Bail H, Windhagen H, Kolbeck S, et al.: Ultrasound measurements is a strong predictor of torsional bone regenerate stiffness in distraction osteogenesis, Orthopaedic Research Society, San Francisco, CA (1997) February 9-13, Presented at the 43rd Annual Meeting
  12. Derbyshire NDJ: A role for ultrasound in limb lengthening. Br J Radiol 1992;65:576 https://doi.org/10.1259/0007-1285-65-775-576
  13. ILizarov GA, Soybelman LM: Some clinical and experimental data on the bloodless lengthening of lower limbs. Exp Khir Anes 1969;4:27
  14. Ilizarov GA: Basic principles of transosseous compression and distraction osteosynthesis. Orthop Traumatol Protez 1971;32:7
  15. McCarthy, JG, Stelnicki, EJ, Grayson BH: Distraction osteogenesis of the mandible: A ten-year experience. Semin. Orthod 1999;5:3
  16. McCarthy, JG, Katzen JT, Hopper R, Grayson BH: The first decade of mandibular distraction: Lessons we have learned. Plast Reconstr Surg 2002;110:1704 https://doi.org/10.1097/00006534-200212000-00013
  17. Cohen SR: Craniofacial distraction with a modular internal distraction system: Evolution of design and surgical techniques. Plast Reconstr Surg 1999;103:1592 https://doi.org/10.1097/00006534-199905060-00006
  18. McCarthy JG, Williams JK, Grayson BH, Crombie JS: Controlled multiplanar distraction of the mandible: Device development and clinical application. J Craniofac Surg 1998;9:322 https://doi.org/10.1097/00001665-199807000-00006
  19. Chin M, Toth BA: Distraction osteogenesis in maxillofacial surgery using internal devices: Review of five cases. J Oral Maxillofac Surg 1996;54:45
  20. Maull DJ: Review of devices for distraction osteogenesis of the craniofacial complex. Semin Orthod 1999;5:64
  21. Tavakoli K, Walsh WR, Smart, R, et al.: The role of latency in mandibular osteodistraction. J Craniomaxillofac Surg 1998;26:209 https://doi.org/10.1016/S1010-5182(98)80016-4
  22. Mofid MM, Manson PN, Robertson BC, et al: Craniofacial distraction osteogenesis: A review of 3278 cases. Plast Reconstr Surg 2001;108:1103 https://doi.org/10.1097/00006534-200110000-00001
  23. Stelnicki EJ, Hollier LH, Lee, C, Lin, WY, Grayson B, McCarthy JG: Distraction osteogenesis of costochondral bone grafts in the mandible. Plast Reconstr Surg 2002;109:925 https://doi.org/10.1097/00006534-200203000-00017
  24. Corcoran J, Hubli EH, Salyer KE: Distraction osteogenesis of costochondral neomandibles: A clinical experience. Plast Reconstr Surg 1997;100:311 https://doi.org/10.1097/00006534-199708000-00004
  25. Carls FR, Sailer H: Seven years of clinical experience with mandibular distraction in children. J Craniomaxillofac Surg 1998;26:197 https://doi.org/10.1016/S1010-5182(98)80015-2
  26. Huppertz R, Pfeil J, Kaps HP: Sonographische Verlaufskontrollen yon Verl-ingerungsosteotomien. Orthop 1990;128:90
  27. Derbishire ND, Simpson AH: A role for ultrasound in limb lengthening. Br J Radiol 1992;65:576 https://doi.org/10.1259/0007-1285-65-775-576
  28. Juenger TH, Klingmueller V, Howaldt H-P: Standardisierte sonographische Verlaufskontrolle bei der Kallusdistraktion am Unterkiefer. Mund Kiefer Gesichts Chir 1998;2:331