[Mandibular advancement: osteotomy or distraction osteogenesis? A case report].
From an experience in osteogenic distraction techniques acquired since 1993 and facing a case of retromandible, the authors have tried to define the criteria leading them to suggest a distraction rather a classical surgical procedure. The selection of the patient is based upon the age, the significance of the advancement, the asymmetry of the advancement and the former existence of a temporomandibular joint degenerative disease. Monitoring the distraction, in particular with per- and post-distraction orthodontics, remains complicated. The overcorrection and the reduction of recurrences after advancement using distraction remain openly discussed.
Diner
P A
PA
Service de chirurgie maxillofaciale, plastique et stomatologique, hôpital Armand Trousseau, 8-28 avenue du docteur Arnold Netter, 75571 Paris, France.
Tomat
C
C
Soupre
V
V
Vazquez
M P
MP
D000293:Adolescent; D005260:Female; D006801:Humans; D008334:Mandible / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000379:methods*; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*
Avancement mandibulaire: ostéotomie ou distraction? A propos d'un cas clinique.