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Published on: October 23, 2017
Minimizing pin complications when using the rigid external distraction (RED) system for midface distraction.
Dror Aizenbud1, Adi Rachmiel, Omri Emodi
1Orthodontic and Craniofacial Center, Department of Oral and Dental Medicine, Rambam Health Care Campus, Haifa, Israel. aizenbud@ortho.co.il
Summary
The rigid external distraction (RED) system offers advantages for nasomaxillary complex advancement in hypoplastic craniofacial patients. Careful management and specific procedures can minimize complications like pin-related issues and intracranial penetration.
Area of Science:
- Craniofacial surgery
- Orthodontics
- Biomedical engineering
Background:
- Distraction osteogenesis is a key orthodontic-surgical technique for hypoplastic craniofacial components.
- The rigid external distraction (RED) system is effective for severe maxillary retrusion, particularly in cleft palate patients.
Purpose of the Study:
- To review the advantages, complications, and preventive strategies associated with halo-based distraction for retrusive nasomaxillary complexes.
- To highlight pin-related complications and intracranial pin penetration risks with RED systems.
Main Methods:
- Literature review focusing on complications and risk management of halo and RED systems.
- Analysis of reported complications, primarily pin-related and intracranial penetrations.
Main Results:
- Most halo complications are pin-related.
- RED system complications predominantly involve intracranial pin penetration.
- Preventive measures are crucial for minimizing RED system side effects.
Conclusions:
- The RED system is a valuable tool for craniofacial advancement but requires vigilant monitoring.
- Preoperative planning, neurosurgical consultation, and meticulous pin care are essential for safe RED system use.
