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Complications in Mandibular Midline Distraction.

Jan Pieter de Gijt¹, Atilla Gül¹, Eppo B Wolvius¹

¹Department of Oral and Maxillofacial Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.

Craniomaxillofacial Trauma & Reconstruction

|July 29, 2017

Summary

Mandibular midline distraction (MMD) is a safe surgical technique for mandibular transverse discrepancies. Most complications are mild, transient, and manageable without reoperation.

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Area of Science:

Oral and Maxillofacial Surgery
Orthodontics
Surgical Innovation

Background:

Mandibular midline distraction (MMD) addresses transverse discrepancies in the mandible.
Assessing MMD's complication profile is crucial for clinical adoption.

Purpose of the Study:

To evaluate the incidence and severity of complications associated with MMD.
To analyze the burden of complications using the Clavien-Dindo classification.

Main Methods:

Retrospective cohort study of 73 patients undergoing MMD (2002-2014).
Exclusion criteria: congenital deformities, prior radiation therapy.
Complications graded using Clavien-Dindo classification (CDS).

Main Results:

Keywords:

Clavien-Dindo complications mandibular midline distraction orthognathic surgery

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29 patients experienced minor complications (CDS grades I-II).
5 patients had severe complications (CDS grades IIIa-IIIb).
Common issues included pressure ulcers, dehiscence, and mental nerve sensory disturbances.

Conclusions:

MMD is a relatively safe procedure for correcting mandibular transverse discrepancies.
Complications are predominantly mild, transient, and manageable.
Further research may refine MMD protocols to minimize adverse events.