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Stability, adaptation and growth following distraction osteogenesis in the craniofacial region.

Abstract：

:The objective of the study was to provide a comprehensive review of the literature describing research done on the stability, adaptation and growth of craniofacial structures following distraction osteogenesis (DO). The design of the study was a literature review of clinical and experimental studies using electronic search with several keywords. Despite immediate normalization of craniofacial relationships after DO, post-distraction mandibular and midface stability and growth is variable in the long-term based on the initial condition. Unpredictable and/or unstable outcomes after DO can arise mainly from three main sources: 1) true relapse, 2) return to original morphology and 3) defective growth. Despite the biologic and clinical feasibility of DO in the craniofacial region, relapse, compromised adaptation, and defective post-distraction growth can lead to variable clinical outcomes. When important structures for the mandibular forward and downward displacement are rudimentary or missing in syndromic patients, DO can not 'correct' the condition and post-distraction growth will be defective. Non-syndromic patients have a better potential to respond favourably to DO.

journal_name

Orthod Craniofac Res

journal_title

Orthodontics & craniofacial research

authors

Peltomäki T

doi

10.1111/j.1601-6343.2009.01452.x

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

187-94

issue

3

eissn

1601-6335

issn

1601-6343

pii

OCR1452

journal_volume

12

pub_type

杂志文章,评审

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