Mandibular osteotomies and distraction osteogenesis: evolution and current advances.

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic and Reconstructive Surgery
• Orthodontics

Background:

• Orthodontic treatment alone may not fully address certain mandibular and occlusal issues.
• Dentofacial osteotomies are frequently required for optimal functional and cosmetic outcomes.
• Mandibular distraction osteogenesis has gained prominence in recent years.

Observation:

• A review of mandibular osteotomies and distraction osteogenesis was conducted.
• Literature searches included terms like mandibular advancement, orthognathic surgery, and prognathism.
• Techniques were critically reviewed based on original descriptions and advancements.

Findings:

• Surgical mandibular modification corrects craniofacial abnormalities for functional and aesthetic goals.
• Both mandibular osteotomy and distraction osteogenesis techniques are effective.
• Effectiveness depends on the specific defect, desired outcome, surgeon preference, and patient compliance.

Implications:

• Distraction osteogenesis is emerging as a leading method for surgical correction of craniofacial defects.
• Advances are making distraction osteogenesis more effective and efficient for surgeons and patients.
• Facial plastic and reconstructive surgeons must stay updated on these evolving techniques.