Distraction osteogenesis in the head and neck region

Czech version

Authors: Koudstaal Maarten Jan ¹; Rupreht Joseph ²; Van Der Wal Karel G. H. ¹
Authors‘ workplace: Department of Oral and Maxillofacial Surgery Craniofacial Center, Sophia Children’s Hospital, Erasmus University Medical Center Rotterdam ¹; Department of Anesthesiology Craniofacial Center, Sophia Children’s Hospital, Erasmus University Medical Center Rotterdam ²
Published in: Anest. intenziv. Med., 19, 2008, č. 3, s. 139-142
Category: Anaesthesiology - Review Article

Overview

Distraction osteogenesis is a treatment often used in orthopedics and plastic surgery, but more frequently so in maxillofacial surgery. There is a variety of distractors available for use on the different parts of the maxillofacial skeleton. The aim of this article is to give publicity to distraction osteogenesis in the field of oral and maxillofacial surgery and to the different types of intra- and extraoral distractors frequently used in the head and neck region. The application of such distractors for several months while the patient carries on everyday life is potentially hazardous in case of an emergency. The anesthesiological aspects of these devices will be discussed in order to minimize the risks in cases of acute medical interventions.

Keywords:
distraction osteogenesis – maxillofacial surgery – anesthesiological aspects – emergency medicine

Sources

1. Codivilla, A. On the means of lengthening, in the lower limbs, the muscles and tissues which are shortened through deformity. Am. J. Orthop. Surg., 1905, 2, p. 353.

2. Ilizarov, G. A. Clinical applications of the tension-stress effect for limb lengthening. Clin. Orthop., 1990, 250, p. 8–26.

3. Mommaerts, M. Y. Transpalatal distraction as a method of maxillary expansion. Brit. J. Oral. Maxillofac. Surg., 1999, 37, p. 268–272.

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Article was published in

Anaesthesiology and Intensive Care Medicine

2008 Issue 3