Contemporary 3D planning for distraction osteogenesis creating predictable outcomes
Distraction osteogenesis is a treatment option for severely hypoplastic jaws meaning large distance jaw repositioning can occur without the need for ‘staged’ osteotomies. We propose utilising a hybrid approach of three-dimensional virtual planning combined with stock distractors as a novel way of re...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-07-01
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| Series: | Advances in Oral and Maxillofacial Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667147621000856 |
| _version_ | 1819140354159411200 |
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| author | Rachael Suffern Salim Miskry Jonas Osher |
| author_facet | Rachael Suffern Salim Miskry Jonas Osher |
| author_sort | Rachael Suffern |
| collection | DOAJ |
| description | Distraction osteogenesis is a treatment option for severely hypoplastic jaws meaning large distance jaw repositioning can occur without the need for ‘staged’ osteotomies. We propose utilising a hybrid approach of three-dimensional virtual planning combined with stock distractors as a novel way of reducing operative time and creating predictable outcomes. The distraction is digitally planned to give the ideal position of the distractors and correct vector of distraction. A stereolithic model is fabricated and used to bend the stock distractor plates pre-operatively to ensure good adaptation, with minimal bending required intra-operatively. A custom bite jig positions the distractors and ensures that the vector is as planned. Stock distraction plates are time consuming and challenging to adapt intra-operatively, hence the ability to move this stage of the operation out of theatre reduces the operative time and allows accurate, aesthetic results. |
| first_indexed | 2024-12-22T11:37:13Z |
| format | Article |
| id | doaj.art-6cea3fe3630d4e12b549d2ab213f5aba |
| institution | Directory Open Access Journal |
| issn | 2667-1476 |
| language | English |
| last_indexed | 2024-12-22T11:37:13Z |
| publishDate | 2021-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Advances in Oral and Maxillofacial Surgery |
| spelling | doaj.art-6cea3fe3630d4e12b549d2ab213f5aba2022-12-21T18:27:23ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762021-07-013100098Contemporary 3D planning for distraction osteogenesis creating predictable outcomesRachael Suffern0Salim Miskry1Jonas Osher2Corresponding author. Tullyraine House, 20 Drumneath Road, Banbridge, Co Down, BT32 3SS, United Kingdom.; Department of Oral and Maxillofacial Surgery, King's College Hospital NHS Foundation Trust, Denmark Hill, Brixton, London, SE5 9RS, UKDepartment of Oral and Maxillofacial Surgery, King's College Hospital NHS Foundation Trust, Denmark Hill, Brixton, London, SE5 9RS, UKDepartment of Oral and Maxillofacial Surgery, King's College Hospital NHS Foundation Trust, Denmark Hill, Brixton, London, SE5 9RS, UKDistraction osteogenesis is a treatment option for severely hypoplastic jaws meaning large distance jaw repositioning can occur without the need for ‘staged’ osteotomies. We propose utilising a hybrid approach of three-dimensional virtual planning combined with stock distractors as a novel way of reducing operative time and creating predictable outcomes. The distraction is digitally planned to give the ideal position of the distractors and correct vector of distraction. A stereolithic model is fabricated and used to bend the stock distractor plates pre-operatively to ensure good adaptation, with minimal bending required intra-operatively. A custom bite jig positions the distractors and ensures that the vector is as planned. Stock distraction plates are time consuming and challenging to adapt intra-operatively, hence the ability to move this stage of the operation out of theatre reduces the operative time and allows accurate, aesthetic results.http://www.sciencedirect.com/science/article/pii/S2667147621000856Maxillary distraction3D planningDistractorsOrthognathic |
| spellingShingle | Rachael Suffern Salim Miskry Jonas Osher Contemporary 3D planning for distraction osteogenesis creating predictable outcomes Advances in Oral and Maxillofacial Surgery Maxillary distraction 3D planning Distractors Orthognathic |
| title | Contemporary 3D planning for distraction osteogenesis creating predictable outcomes |
| title_full | Contemporary 3D planning for distraction osteogenesis creating predictable outcomes |
| title_fullStr | Contemporary 3D planning for distraction osteogenesis creating predictable outcomes |
| title_full_unstemmed | Contemporary 3D planning for distraction osteogenesis creating predictable outcomes |
| title_short | Contemporary 3D planning for distraction osteogenesis creating predictable outcomes |
| title_sort | contemporary 3d planning for distraction osteogenesis creating predictable outcomes |
| topic | Maxillary distraction 3D planning Distractors Orthognathic |
| url | http://www.sciencedirect.com/science/article/pii/S2667147621000856 |
| work_keys_str_mv | AT rachaelsuffern contemporary3dplanningfordistractionosteogenesiscreatingpredictableoutcomes AT salimmiskry contemporary3dplanningfordistractionosteogenesiscreatingpredictableoutcomes AT jonasosher contemporary3dplanningfordistractionosteogenesiscreatingpredictableoutcomes |