Öznur MÜLAYİM, Fatma UZUNER, Belma IŞIK ASLAN

Dudak damak yarıklı hastalarda alveoler distraksiyon osteogenez uygulamaları: literatür derlemesi

Kraniyofasiyal bölgede başarıyla uygulanmakta olan distraksiyon osteogenezis yönteminin dudak damak yarıklı bireylerde uygulanmasının giderek arttığı görülmektedir. Özellikle geniş damak yarıklı hastalarda düzgün bir alveolar ark sağlanmasına yönelik olarak kemik greftleme veya distraksiyon osteogenezis gibi cerrahi işlemler uygulanabilmektedir. Bu derlemede dudak damak yarığı olan bireylerde alveolar (segmental) distraksiyon osteogenezis uygulayan çalışmaların verileri ışığında, uygulamanın endikasyonları, avantaj ve dezavantajları, uygulama metodları ve bu amaçla kullanılan aparey çeşitleri değerlendirildi. Sonuç olarak, özellikle alveolar distraksiyon osteogenezis uygulaması ile velofaringeal yetmezlik, maksiller hipoplazi ve maksiller çapraşıklığa sahip dudak damak yarığı olan hastalarda başarılı sonuçlar elde edilebildiği ve bu yöntemin konvansiyonel osteotomilere ve ağız dışı distraktörlerle yapılan distraksiyon uygulamalarına alternatif olabileceği belirlendi.

Anahtar Kelimeler:

Distraksiyon osteogenezis, ortodonti, yarık damak, yarık dudak

Alveolar distraction osteogenesis applications in cleft lip and palate patients: a literature review

Distraction osteogenesis technique has been successfully applied in the craniofacial area for long time, and it is being applied increasingly more in cleft lip and palate patients also. Especially in large cleft palate cases, bone grafting or surgical procedures such as distraction osteogenesis can be applied in order to ensure a smooth alveolar arc. In this literature review, alveolar (segmental) distraction osteogenesis applications in patients with cleft lip and palate, indications of the technique, advantages and disadvantages, application methods and types of appliances used for this purpose have been evaluated. As conclusion, especially with the application of alveolar (segmental) distraction osteogenesis, successful outcome can be achieved in cleft lip and palate patients with velopharyngeal insufficiency, maxillary hypoplasia and maxillary crowding, and this technique may be an alternative to conventional osteotomies and extraoral distractions.

Keywords:

Cleft lip, cleft palate, distraction osteogenesis, orthodontics,

PDF

___

Erverdi AN, Yilmaz B, Motro M, Gozneli R, Ugurlu K. Simultaneous alveolar cleft closure and dental midline correction with curvilinear intraoral distraction. Cleft Palate Craniofac J 2014;51:344-9.
Erverdi N, Motro M, Gozneli R, Küçükkeleş N.A Novel Vector Control Device in Horizontal Bone Transport. J Oral Maxillofac Surg 2013;71:768-74.
Tae KC, Gong SG, Min SK, Oh Whan S. Use of Distraction Osteogenesis in Cleft Palate Patients. Angle Orthod 2003;73:602-7.
Yen SL, Gross J, Wang P, Yamashita DD. Closure of a large alveolar cleft by bony transport of a posterior segment using orthodontic archwires attached to bone: report of a case. J Oral Maxillofac Surg 2001;59:688-91.
Block MS, Brister GD. Use of distraction osteogenesis for maxillary advancement: preliminary results. J Oral Maxillofac Surg 1994;52:282-6.
Constantino PD, Shyt G, Friedman CD, Pelzer HJ, Masini M, Shindo ML, et.al. Segmental mandibular regeneration by distraction osteogenesis. An experimental study. Arch Otolaryngol Head Neck Surg 1990;116:535-45.
Vega O, Perez D, Paramo V, Falcon J. A New Device for Alveolar Bone Transportation. Craniomaxillofac Trauma Reconstr. 2011;4:91-106.
Kuroda S, Araki Y, Oya S, Mishima K, Sugahara T, TakanoYamamoto T. Maxillary distraction osteogenesis to treat maxillary hypoplasia: comparison of an internal and an external system. Am J Orthod Dentofacial Orthop 2005;127:493-8.
Karakasis D, Hadjipetrou L. Advancement of the anterior maxilla by distraction (case report). J Craniomaxillofac Surg 2004;32:150-4.
Aikawa T, Haraguchi S, Tanaka S, Uematsu S, Ishibashi M, Kogo M, et al. Rotational movement of the anterior maxillary segment by hybrid distractor in patients with cleft lip and palate Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110:291-300.
Bousdras VA, Liyanage C, Mars M, Ayliffe PR. Segmental Maxillary Distraction with a Novel Device for Closure of a Wide Alveolar Cleft. Ann Maxillofac Surg 2014;4:60-3.
Sunitha C, Gunaseelan R, Anusha V, Peruman K, Shanmugasundaram A. Maxillary Movement in Cleft Patients Treated With Internal Tooth Borne Distractor. J Maxillofac Oral Surg 2013;12:266-72.
Erverdi N, Küçükkeleş N, Şener C, Selamet BU. Interdental Distraction Osteogenesis for the Management of Alveolar Clefts: Archwise Distraction. Int J Oral Maxillofac Surg 2012;41:37-41.
Çakır M, Karaca İR Alveolar distraksiyon osteogenizi. GÜ Diş Hek Fak Derg 2012;29:121-8.
Yang L, Suzuki EY, Suzuki B. Alveolar distraction osteogenesis: a systematic literature review M Dent J 2014; 34,289-300.
Keçeli HG, Demiralp B, Muhtaroğulları M, Demiralp B. Dişhekimliğinde Distraksiyon Osteogenez: Bölüm 2. Hacettepe Diş Hek Fak Dergisi 2006;30:20-30.
Karabekmez FE, Irgın C, Sağlam İ, Görgü M. Yüz bölgesi distraksiyon osteogenezis uygulamaları. Abant Med J 2012;1:1-7.
Onur ÖD, Cura N, Erpardo Y. Maksillofasiyal bölgede distraksiyon osteogenezi. İÜ Diş Hek Fak Derg 2004;38:19-24.
Figueroa AA, Polley JW, Ko EW. Maxillary distraction for the management of cleft maxillary hypoplasia with a rigid externel distraction system. Semin Orthod. 1999;5:46-51.
Polley JW, Figueroa AA. Rigid external distraction: its application in cleft maxillary deformities. Plast Reconstr Surg 1998;102:1360-72.
Gunaseelan R, Cheung LK, Krishnaswamy R, Veerabahu M. Anterior maxillary distraction by tooth-borne palatal distractor. J Oral Maxillofac Surg 2007;65:1044-9.
Ertaş Ü, Saruhan N, Demirci T. Çocuklarda Primer Damak Yarığı Onarımı Sonrası Görülen Velofaringeal Yetmezlik Tedavisi. Atatürk Üniv Diş Hek Fak Derg 2014:9;142-5.
Guyette TW, Polley JW, Figueroa A, Smith BE. Changes in speech following maxillary distraction. Cleft Palate Craniofac J 2001;38:199- 205.
Nalcacı R, Topbaş S, Orhan M, Doruk C. Importance of speech disorders in cleft lip and palate patients, assessment of speech therapy and evaluation of distraction osteogenesis: Two case reports. Turkish Journal of Orthodontics 2009;22:45-53.
Van Sickels JE. Distraction osteogenesis versus orthognathic surgery. Am J Orthod Dentofacial Orthop 2000;118:482-4.
Alkan A, Baş B, Özer M, Bayram M, Yüzbaşıoğlu E. Maxillary anterior segmental advancement of hypoplastic maxilla in cleft patients by distraction osteogenesis: report of 2 cases. J Oral Maxillofac Surg 2008;66:126-32.
Posnick, JC, Tompson B. Cleft-orthognathic surgery: Complications and long-term results. Plast. Reconstr. Surg. 1995;96:255-66.
Wang XX, Wang X, Li ZL, Yi B, Liang C, Jia YL et al. Anterior maxillary segmental distraction for correction of maxillry hypoplasia and dental crowding in cleft palate patients: a preliminary report. Int J Oral Maxillofac Surg 2009; 38:1237-43.
Richardson S, Agni NA, Selvaraj D. Anterior maxillary distraction using a tooth borne device for hypoplastic cleft maxillas – a pilot study. J Oral Maxillofac Surg 2011;69:542-8.
Cope JB, Harper RP, Samchukov ML. Experimental tooth movement through regenerate alveolar bone: a pilot study. Am J Orthod Dentofac Orthop 1999;116:501-5.
Nakamoto N, Nagasaka H, Daimaruya T, Takahashi I, Sugawara J, Mitani H. : Experimental tooth movement through mature and immature bone regenerates after distraction osteogenesis in dogs. Am J Orthod Dentofac Orthop 2002;121:385-95.
Liou JW, Chen KT. Intraoral Distraction of Segmental Osteotomies and Miniscrews in Management of Alveolar Cleft. Semin Orthod 2009;15:257-67.
El Sharaby FA, El Bokle NN, El Boghdadi DM, Mostafa YA. Tooth movement into distraction regenerate: When should we start? Am J Orthod Dentofacial Orthop 2011;139:482-94.
Nakamoto N, Nagasaka H, Daimaruya T, Takahashi I, Sugawara J, Mitani H. Experimental tooth movement through mature and immature bone regenerates after distraction osteogenesis in dogs. Am J Orthod Dentofacial Orthop 2002;121:385-95.
Cope JB, Samchukov ML. Regenerate bone formation and remodeling during mandibular osteodistraction. Angle Orthod 2000;70:99-111.
Malkoc S, Iseri H, Karaman AI, Mutlu N, Kucukkolbasi H. Effects of mandibular symphyseal distraction osteogenesis on mandibular structures. Am J Orthod Dentofacial Orthop 2006;130:603-11.
Duran I, Malkoc S, Iseri H, Tunali M, Tosun M, Kucukkolbasi H. Microscopic evaluation of mandibular symphyseal distraction osteogenesis. Angle Orthod 2006;76:369-74.
Liou EJ, Figueroa AA, Polley JW. Rapid orthodontic tooth movement into newly distracted bone after mandibular distraction osteogenesis in a canine model. Am J Orthod Dentofac Orthop 2000; 117:391-8.
Cano J, Campo J, Moreno LA, Bascones A. Osteogenic alveolar distraction: A review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:11-28.
Yasui N, Kojimoto H, Shimizu H, Shimomura Y. The effect of distraction upon bone, muscle, and periosteum. Orthop Clin North Am 1991;22:563-7.
Block MS, Daire J, Stover J, Matthews M. Changes in the inferior alveolar nerve following mandibular lengthening in the dog using distraction osteogenesis. J Oral Maxillofac Surg 1993;51:652-60.
Ilizarov GA. The tension-stress effect on the genesis and growth of tissues: Part II. The influence of the rate and frequency of distraction. Clin Orthop Relat Res 1989;263-85.
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;249-81.
Samchukov ML, Cope JB, Cherkasin AM. Craniofacial Distraction Osteogenesis. 1st edn. St Louis: Mosby; 2001.
Binger T, Katsaros C, Rucker M, Spitzer WJ. Segment distraction to reduce a wide alveolar cleft before alveolar bone grafting. Cleft Palate Craniofac J 2003;40:561-5.
Dolanmaz D, Karaman AI, Durmuş E, Malkoç S. Management of alveolar clefts using dentoosseous transport distraction osteogenesis. Angle Orthod 2003;73:723-9.
Liou EJ, Chen PK, Huang CS, Chen YR. Interdental distraction osteogenesis and rapid orthodontic tooth movement: a novel approach to approximate a wide alveolar cleft or bony defect. Plast Reconstr Surg 2000;105:1262-72.
Fonseca RJ, Marciani RD, Turvey TA. Oral and Maxillofacial Surgery. 2nd edn. Philadelphia: Elsevier; 2008. p. 528.
Bıçakçı AA, Nalçacı R, Turgut M. Damak dudak yarıklı bir hastada multidisipliner tedavi yaklaşımı (Olgu sunumu). Türk Diş Hek Derg 2007;69:136-8.