Distraction osteogenesis of the human craniofacial skeleton: initial experience with new distraction system.
Application of distraction osteogenesis to the human craniofacial skeleton in properly selected cases represents a major advance in the treatment of craniofacial deformities. We report our initial clinical experience with a system of miniature distraction devices that permitted maxillary, orbital, and mandibular distraction in a 4-month-old boy with unilateral craniofacial microsomia and anophthalmia. At 6 months of age, after maxillary repositioning and orbital expansion, a costochondral rib graft was used to construct the missing left mandibular ramus and condyle.
Cohen
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SR
Center for Craniofacial Disorders, Scottish Rite Children's Medical Center, Atlanta, Georgia 30342, USA.
Rutrick
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RE
Burstein
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FD
D001852:Bone Lengthening / Q000379:methods*; D002508:Cephalometry; D003399:Craniotomy / Q000379:methods*; D004867:Equipment Design; D005146:Facial Asymmetry / Q000601:surgery*; D005147:Facial Bones / Q000601:surgery*; D006801:Humans; D007223:Infant; D016268:Internal Fixators; D008297:Male; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D009915:Orbit / Q000601:surgery; D010012:Osteogenesis; D012886:Skull / Q000601:surgery; D013704:Temporomandibular Joint / Q000601:surgery