BACKGROUND: Mandibular hypoplasia, retrognathia, and micrognathia are commonly encountered problems in pediatric plastic surgery. Mandibular distraction osteogenesis (MDO) is a relatively simple technique that allows for correction of the deformity with minimal morbidity. However, MDO can lead to a wide variety of complications. METHODS: The PubMed database was queried for all articles describing complications of MDO. Each article was then reviewed, and relevant data were extracted and compiled. Finally, several case reports are presented to illustrate poignant examples of complications. RESULTS: Complications of MDO include relapse (64.8% incidence), tooth injury (22.5%), hypertrophic scarring (15.6%), nerve injury (11.4%), infection (9.5%), inappropriate distraction vector (8.8%), device failure (7.9%), fusion error (2.4%), and temporomandibular joint injury (0.7%). CONCLUSIONS: Mandibular distraction osteogenesis can be associated with a wide variety of minor and major complications, but all complications can be avoided with careful planning and technique.
BACKGROUND:Mandibular hypoplasia, retrognathia, and micrognathia are commonly encountered problems in pediatric plastic surgery. Mandibular distraction osteogenesis (MDO) is a relatively simple technique that allows for correction of the deformity with minimal morbidity. However, MDO can lead to a wide variety of complications. METHODS: The PubMed database was queried for all articles describing complications of MDO. Each article was then reviewed, and relevant data were extracted and compiled. Finally, several case reports are presented to illustrate poignant examples of complications. RESULTS: Complications of MDO include relapse (64.8% incidence), tooth injury (22.5%), hypertrophic scarring (15.6%), nerve injury (11.4%), infection (9.5%), inappropriate distraction vector (8.8%), device failure (7.9%), fusion error (2.4%), and temporomandibular joint injury (0.7%). CONCLUSIONS: Mandibular distraction osteogenesis can be associated with a wide variety of minor and major complications, but all complications can be avoided with careful planning and technique.
Authors: Emma C Paes; Aebele B Mink van der Molen; Marvick S M Muradin; Lucienne Speleman; Frea Sloot; Moshe Kon; Corstiaan C Breugem Journal: Clin Oral Investig Date: 2013-05-31 Impact factor: 3.573
Authors: Corstiaan Breugem; Emma Paes; Moshe Kon; Aebele B Mink van der Molen; Aebele B Mink van der Molen Journal: Clin Oral Investig Date: 2011-10-19 Impact factor: 3.573
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Authors: Zongyang Sun; Boon Ching Tee; Kelly S Kennedy; Patrick M Kennedy; Do-Gyoon Kim; Susan R Mallery; Henry W Fields Journal: PLoS One Date: 2013-09-05 Impact factor: 3.240