Optimizing Facial Esthetic Outcomes: Adding Distraction Osteogenesis to Your Classic Orthognathic Surgery Armamentarium.


Journal

The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410

Informations de publication

Date de publication:
01 Sep 2023
Historique:
received: 31 10 2022
accepted: 14 05 2023
medline: 31 8 2023
pubmed: 20 6 2023
entrez: 19 6 2023
Statut: ppublish

Résumé

Classical orthognathic procedures have long been known to improve the facial esthetic contours and proportions of face by restoring the skeletal foundation, on which the soft-tissue drapes. Distraction osteogenesis was introduced to solve complex skeletal abnormalities in patients with craniofacial conditions that could not be solved by classical orthognathic surgery techniques. The gradual expansion in this group of patients showed not only greater skeletal stability, but the expansion at various tissue planes improved the facial appearance. In this report we review our experience in 22 cases with dentofacial skeletal abnormities for whom we believe achieved aesthetic outcomes could not habe been with classical orthognathic techniques alone. In addition, distraction at the interdental regions allowed for "tailoring" of the osteotomies and for simultaneous expansion at the occlusal level.

Identifiants

pubmed: 37336505
doi: 10.1097/SCS.0000000000009475
pii: 00001665-202309000-00021
doi:

Types de publication

Review Journal Article

Langues

eng

Pagination

1692-1698

Informations de copyright

Copyright © 2023 by Mutaz B. Habal, MD.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest.

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Auteurs

Kurt Vinzenz (K)

Department of Cranio Maxillo-Facial Surgery, Evangelisches Krankenhaus Vienna, Vienna, Austria.

Pravin K Patel (PK)

Division of Plastic, Reconstructive and Cosmetic Surgery, University of Illinois at Chicago, The Craniofacial Center, Chicago, IL.

Mimis Cohen (M)

Division of Plastic, Reconstructive and Cosmetic Surgery, University of Illinois at Chicago, The Craniofacial Center, Chicago, IL.

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