Orthognathic Surgery v/s Distraction Osteogenesis: A Preliminary Study
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 12
Abstract
Introduction: Distraction osteogenesis is one of the latest treatment modality in correcting skeletal discrepancies in the craniofacial region. Maxillary retrusion is a common problem when deformity of the face is concerned especially in cleft lip and palate patients. Distraction osteogenesis can utilize devices that can be internal or external. Study aimed to compare distraction osteogenesis with conventional orthognathic surgery in management of maxillary hypoplasia in patients with cleft lip and palate. Material and Methods: Ten adult cleft patients who had undergone conventional maxillary advancement with Le fort I osteotomy (5 patients) and distraction osteogenesis (5 patients) with minimum one year follow up were included in the study. The patients were treated by orthognathic Le Fort I osteotomy fixed with four mini plates and 2 mm screws, or by maxillary distraction osteogenesis with rigid extraoral devices (RED) connected after a Le Fort I osteotomy. Result: Showed greater Cephalometric skeletal changes in craniofacial region in distraction group compared to Orthognathic surgical group. Conclusion: Distraction osteogenesis has an enormous role in future as an alternative method of skeletal correction in patients with severe maxillary hypoplasia. Amount of advancement was significantly greater in distraction as compared to that of conventional osteotomy.
Authors and Affiliations
Asif Iqbal Khan, Ashok Utreja
Keywords
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