Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Mar;9(1):57-9.
doi: 10.1007/s12663-010-0016-9. Epub 2010 Jun 4.

Correction of midface deficiency using intra-oral distraction device

Suresh Menon  1 , Ramen Sinha, Ravi Manerikar, S K Roy Chowdhury
Affiliations

Correction of midface deficiency using intra-oral distraction device

Suresh Menon et al. J Maxillofac Oral Surg. 2010 Mar.

Abstract

A wide variety of disease processes produce alteration of midfacial skeletal growth, resulting in moderate-to-severe midface deficiency presenting as retrusion associated with Angle's class III malocclusion. Most cases of midface deficiency are seen in patients of cleft lip/palate. The surgical procedure to correct the clefts, undertaken over a long period of time from infancy to the teens tends to take its toll on the soft tissues over the midface. The scarring that is a feature in these conditions results in hampering of normal growth of the midface causing the deformity. Conventional procedures to correct the deformity by surgical advancement have been less than satisfactory in terms of success. This is where the concept of multidimensional growth using distraction proved useful. Today distraction has proved to be a versatile tool in the correction of midface deficiencies due to its various advantages. Six patients of cleft lip/palate were taken up for advancement of the hypoplastic midface using intra-oral distractors with successful and stable results.

Keywords: Cleft lip and palate; Distraction; Midface.

PubMed Disclaimer

References

    1. McCarthy J.G., Schreiber J., Karp N., Thorne C.H., Grayson B.H. Lengthening of the human mandible by gradual distraction. Plast Reconstr Surg. 1992;89(1):1–8. doi: 10.1097/00006534-199289010-00001. - DOI - PubMed
    1. Molina F., Ortiz Monasterio F. Maxillary distraction: Three years of clinical experience: Proceedings of the 65th annual meeting of the American Society of Plastic and Reconstructive Surgeons. Plastic Surg Forum. 1996;19:54.
    1. Laurie S.W., Kaban L.B., Mulliken J.B., Murray J.E. Donor site morbidity after harvesting rib and iliac bone. Plast Reconstr Surg. 1984;73(6):933–938. doi: 10.1097/00006534-198406000-00014. - DOI - PubMed
    1. Persson G., Hellem S., Nord P.G. Bone plates for stabilizing LeFort I osteotomies. J Maxillofac Surg. 1986;14(2):69–73. doi: 10.1016/S0301-0503(86)80264-8. - DOI - PubMed
    1. Cohen S.R. Craniofacial distraction with a modular internal distraction system: Evolution of design and surgical technique. Plast Reconstr Surg. 1999;103(6):1592–1607. doi: 10.1097/00006534-199905060-00006. - DOI - PubMed

LinkOut - more resources