Distraction osteogenesis of radiation-induced orbitozygomatic hypoplasia.
In the last decade, the application of distraction osteogenesis to the craniofacial skeleton has grown to include not only deformities of the mandible, but of the midface, palate, dentoalveolar region, and calvarium. A major advantage of distraction osteogenesis lies in the simultaneous soft tissue histogenesis that accompanies the bony distraction process, allowing for potentially lower relapse rates and improved cosmesis. Although this may seem appropriately suited to irradiation-induced deformities of both hard and soft tissues, there is little in the literature as to the efficacy of this technique in patients who have received radiotherapy. To introduce an effective application of this technology, and highlight some advantages and disadvantages of its application in the irradiated craniofacial skeleton, we present a case of distraction osteogenesis of the orbitozygomatic complex in a patient with radiation induced orbitozygomatic hypoplasia.
Division of Plastic Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Ramon
R
Grover
Dylan
D
Murray
Jeffrey A
JA
Fialkov
D000328:Adult; D001861:Bone Regeneration; D016025:Bone Transplantation; D016371:Cranial Irradiation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D009915:Orbit / Q000528:radiation effects* / Q000601:surgery; D019857:Osteogenesis, Distraction / Q000379:methods*; D011832:Radiation Injuries / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012175:Retinoblastoma / Q000532:radiotherapy; D015050:Zygoma / Q000528:radiation effects* / Q000601:surgery