Yüz bölgesi distraksiyon osteogenezis uygulamaları

Distraksiyon osteogenezi, canlı kemik segmentleri arasında, aşamalı olarak uygulanan traksiyon ile yeni kemik oluşumunun hedeflendiği biolojik bir süreçtir. Bu teknik kraniofasyal bölgedeki deformitelerin tedavisinde giderek artan sıklıkta kullanılmaktadır. Bu derleme yazısında distraksiyon osteo-genezin tanımı, tarihçesi ve kullanım alanlarından bahsedilerek distraksiyon osteogenezin biyolojik temelleri ve evreleri gözden geçirilmiştir. Ayrıca yüz bölgesi distraksiyon osteogenezisin diğer konvansiyonel metotlara göre avantajları, tedavi sırasında oluşabilecek komplikasyonlar ve geleceğe ilişkin düşünceler de bu yazının konusunu oluşturmaktadır.

Maxillofacial distraction osteogenesis

Distraction osteogenesis is a biological process involving the formation of new bone between viable bone segments that are gradually separated by traction. Recently, this technic has been gained more popularity in treatment of craniofacial deformities. In this review, we explored the definition, history and indications of distraction osteogenesis along with the biological fundamentals and phases of this method. Moreover, advantages of maxillo-facial distraction osteogenesis than other conventional methods, complications and future prospects are other subjects of this article.

___

  • Lynch SE GR, Marx RE, Samchukov ML, Cherkashin AM, Cope JB. Distraction osteogenesis: history and biologic basis of new bone formation. Tissue engineering: applications in maxillofa- cial surgery and periodontics. Quintessence Carol Stream. 1998;65-9
  • Codivilla A. On the means of lengthening, in the lower limbs, the muscles and tissues which are shortened through deform- ity. 1904. Clin Orthop Relat Res 1994:4-9
  • Abbott LC, Saunders JB. The Operative Lengthening of the Tibia and Fibula: A Preliminary Report on the Further Devel- opment of the Principles and Technic. Ann Surg 1939;110:961-991
  • Ilizarov GA. The principles of the Ilizarov method. Bull Hosp Jt Dis Orthop Inst 1988;48:1-11
  • Ilizarov GA. The tension-stress effect on the genesis and growth of tissues: Part II. The influence of the rate and fre- quency of distraction. Clin Orthop Relat Res 1989:263-285
  • Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft-tissue preservation. Clin Orthop Relat Res 1989:249- 281
  • Cope JB, Samchukov ML, Cherkashin AM. Mandibular distrac- tion osteogenesis: a historic perspective and future directions. Am J Orthod Dentofacial Orthop 1999;115:448-460
  • Honig JF, Grohmann UA, Merten HA. Facial bone distraction osteogenesis for correction of malocclusion: a more than 70- year-old concept in craniofacial surgery. Plast Reconstr Surg 2002;109:41-44
  • Snyder CC, Levine GA, Swanson HM, ve ark. Mandibular lengthening by gradual distraction. Preliminary report. Plast Reconstr Surg 1973;51:506-508
  • Michieli S, Miotti B. Lengthening of mandibular body by gradual surgical-orthodontic distraction. J Oral Surg 1977;35:187-192
  • Karp NS, Thorne CH, McCarthy JG, ve ark. Bone lengthening in the craniofacial skeleton. Ann Plast Surg 1990;24:231-237
  • McCarthy JG, Schreiber J, Karp N, ve ark. Lengthening the human mandible by gradual distraction. Plast Reconstr Surg 1992;89:1-8
  • Swennen G, Schliephake H, Dempf R, ve ark. Craniofacial distraction osteogenesis: a review of the literature: Part 1: clin- ical studies. Int J Oral Maxillofac Surg 2001;30:89-103
  • Martin R, Burr D.Structure, Function and Adaptation of Com- pact Bone Mechanical adaptation. New York: Raven Press. 1989
  • Aronson J.Distraction of the Craniofacial Skeleton Principles of distraction osteogenesis: The orthopedic experience. Spring- er- Verlag. 1999
  • Cope JB Samchukov ML, Cherkashin AM.Craniofacial Distrac- tion Osteogenesis. Historical Development and Evoluation of Craniofacial Distraksiyon Osteogenesis. Missouri: Mosby Inc. 2001;3-18
  • Tavakoli K, Stewart KJ, Poole MD. Distraction osteogenesis in craniofacial surgery: a review. Ann Plast Surg 1998;40:88-99
  • al Ruhaimi KA. Comparison of different distraction rates in the mandible: an experimental investigation. Int J Oral Maxillofac Surg 2001;30:220-227
  • Yazdurdıyev B. Distraksiyon Osteogenezisinde Yumuşak Doku Değişiklikleri. İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü; 2006
  • McCarthy JG. Distraction of the craniofacial skeleton Distrac- tion of the mandible: the NYU experience. New York: Springer. 1999;80-100
  • Nocini PF.Craniofacial distraction osteogenesis Histologic evaluation of human bone tissue l year after distraction. St Louis: Mosby. 2001;68
  • Molina F, Ortiz Monasterio F. Mandibular elongation and remodeling by distraction: a farewell to major osteotomies. Plast Reconstr Surg 1995;96:825-840
  • Polley JW, Figueroa AA. Management of severe maxillary deficiency in childhood and adolescence through distraction osteogenesis with an external, adjustable, rigid distraction device. J Craniofac Surg 1997;8:181-185
  • Huang CS, Ko WC, Lin WY, ve ark. Mandibular lengthening by distraction osteogenesis in children--a one-year follow-up study. Cleft Palate Craniofac J 1999;36:269-274
  • Bell WH, Epker BN. Surgical-orthodontic expansion of the maxilla. Am J Orthod 1976;70:517-528
  • Betts NJ Zicardi VB.Oral and maxillofacial surgery, Surgically assisted maxillary expansion. In Philadelphia, WB Saunders. 2000
  • Guerrero CA, Bell WH, Contasti GI, ve ark. Mandibular widen- ing by intraoral distraction osteogenesis. Br J Oral Maxillofac Surg 1997;35:383-392
  • Samchukov ML, Cope JB, Cherkashın AM. Craniofacial Distrac- tion Osteogenesis. St Louis. 2001
  • Carls FR, Sailer HF. Seven years clinical experience with man- dibular distraction in children. J Craniomaxillofac Surg 1998;26:197-208
  • Judge B, Hamlar D, Rimell FL. Mandibular distraction osteo- genesis in a neonate. Arch Otolaryngol Head Neck Surg 1999;125:1029-1032
  • Keçeli HG, Muhtaroğulları M, Demiralp B. Distraksiyon Osteo- genez: Yeni Kemik Formasyonu, Tarihçe ve Biyolojik Pren- sipler: Bölüm 1 Hacettepe Dişhekimliği Fakültesi Dergisi 2006;30:31-41
  • Mofid MM, Manson PN, Robertson BC, ve ark. Craniofacial distraction osteogenesis: a review of 3278 cases. Plast Recon- str Surg 2001;108:1103-1114
  • Master DL, Hanson PR, Gosain AK. Complications of mandibu- lar distraction osteogenesis. J Craniofac Surg 2010;21:1565- 1570
  • Chercashin AM Samchukov ML.Craniofacial Distraction Oste- ogenesis Potential Mistakes and Complications During Dis- traction Osteogenesis. Missouri: Mosby Inc, 2001;583-594
  • Wall EJ, Massie JB, Kwan MK, ve ark. Experimental stretch neuropathy. Changes in nerve conduction under tension. J Bone Joint Surg Br 1992;74:126-129
  • Çakmak M KM.İlizarov cerrahisi ve prensipleri İlizarov Yönt- eminin Biyolojik Temelleri. İstanbul Tıp Kit. 1999
  • Arun T, Kayhan F, Kiziltan M. Treatment of condylar hypo- plasia with distraction osteogenesis: a case report. Angle Or- thod 2002;72:371-376
  • Kruse-Losler B, Meyer U, Floren C, ve ark. Influence of distrac- tion rates on the temporomandibular joint position and carti- lage morphology in a rabbit model of mandibular lengthen- ing. J Oral Maxillofac Surg 2001;59:1452-1459
  • Grayson BH, McCormick S, Santiago PE, ve ark. Vector of device placement and trajectory of mandibular distraction. J Craniofac Surg 1997;8:473-480
  • Klein CH. Correction of mandibular hypoplasia by means of bidirectional callus distraction. J Craniofac Surg 1996;7:258- 266
  • McCarthy JG, Staffenberg DA, Wood RJ, ve ark. Introduction of an intraoral bone-lengthening device. Plast Reconstr Surg 1995;96:978-981
  • McCarthy JG, Williams JK, Grayson BH, ve ark. Controlled multiplanar distraction of the mandible: device development and clinical application. J Craniofac Surg 1998;9:322-329
  • Diner PA, Kollar E, Martinez H, ve ark. Submerged intraoral device for mandibular lengthening. J Craniomaxillofac Surg 1997;25:116-123
  • Breugem C, Paes E, Kon M, ve ark. Bioresorbable distraction device for the treatment of airway problems for infants with Robin sequence. Clin Oral Investig 2011
  • Park JT, Lee JG, Kim SY, ve ark. A piezoelectric motor-based microactuator-generated distractor for continuous jaw bone distraction. J Craniofac Surg 2011;22:1486-1488