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Unexpected events during mandibular distraction osteogenesis.

Kirsti Hurmerinta1, Timo Peltomäki, Jyri Hukki

  • 1Cleft Palate and Craniofacial Centre, Department of Plastic Surgery, Helsinki University, Central Hospital, Helsinki, Finland. Kirsti.Humerinta@hus.fi

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
|September 17, 2004
PubMed
Summary

Mandibular distraction osteogenesis in children can lead to unexpected complications like pain, nerve issues, and weight loss, despite improving jaw alignment. Patients need thorough counseling on these lesser-known risks before the procedure.

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Area of Science:

  • Craniofacial Surgery
  • Orthognathic Surgery
  • Pediatric Plastic Surgery

Background:

  • Mandibular retrognathia and asymmetry in syndromic children often require surgical correction.
  • Distraction osteogenesis is a common technique for mandibular lengthening.
  • Extraoral distraction offers a method for correcting severe jaw deformities.

Purpose of the Study:

  • To document and analyze unexpected events during mandibular distraction osteogenesis.
  • To evaluate the outcomes and complications in syndromic children undergoing extraoral distraction.
  • To inform clinicians and families about potential challenges associated with this procedure.

Main Methods:

  • Retrospective review of 16 syndromic children with severe mandibular retrognathia or asymmetry.

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  • Treatment involved unilateral or bilateral extraoral distraction osteogenesis.
  • Data collected on procedure duration, complications, and patient outcomes.

    • Main Results:

    • Facial aesthetics and occlusion improved in 15 of 16 patients.
    • Unexpected events included pain, jaw movement disturbance, dietary issues, weight loss, and temporary facial nerve palsy.
    • Reoperation was necessary in 5 patients; psychosocial issues also complicated treatment.

    Conclusions:

    • Mandibular distraction osteogenesis, while effective, carries risks of significant unexpected complications.
    • Comprehensive patient and family education regarding potential adverse events is crucial.
    • Further research into minimizing these complications is warranted.