Technical issues in craniomaxillofacial distraction osteogenesis: A case series

Khairul Bariah Chi Adam, Firdaus Hariri, Lim Kwong Cheung, Syed Nabil Syed Omar, Aung Lwin Oo, Zainal Ariff Abdul Rahman

Research output: Contribution to journalArticle

Abstract

Distraction osteogenesis allows superior skeletal advancement compared to conventional surgical osteotomy. It can be considered as a reliable and predictable surgical procedure and is widely used to correct the craniomaxillofacial bone discrepancy. Nevertheless, the outcome is technically dependent and requires comprehensive peri-operative assessment, preparation, and precision in application. The objective of this study is to highlight some important technical issues in distraction osteogenesis when the technique is indicated in various craniomaxillofacial regions and at the same time to discuss the options of preventing and overcoming these technical complications based on our experience and relevant literature. Important technical issues on the application of distraction osteogenesis in 5 different craniomaxillofacial regions were selectively highlighted based on the completed cases in one centre. Potential complications and its prevention methods were documented and discussed. The 5 highlighted regions of craniomaxillofacial distraction osteogenesis were alveolar, mandibular, cleft maxilla, craniofacial and facial cleft. Technical issues and complications were mostly device related and associated with anatomical limitations and surgical technique. Nevertheless, these complications are preventable and can be appropriately managed. From the literature and our experience, the technical aspects vary according to its application in different craniomaxillofacial regions. Preventing the potential complications contribute to the success of its application. This article also discussed the concept of Ihsan application in the medical field, to achieve the best of treatment in terms of delivery and technical preparation for the patients.

Original languageEnglish
Pages (from-to)109-114
Number of pages6
JournalInternational Medical Journal Malaysia
Volume17
Issue numberSpecialissue1
Publication statusPublished - 1 Jan 2016

Fingerprint

Distraction Osteogenesis
Maxilla
Osteotomy
Bone and Bones
Equipment and Supplies

Keywords

  • Complications
  • Craniomaxillofacial surgery
  • Distraction osteogenesis
  • Technical issues

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Adam, K. B. C., Hariri, F., Cheung, L. K., Syed Omar, S. N., Oo, A. L., & Rahman, Z. A. A. (2016). Technical issues in craniomaxillofacial distraction osteogenesis: A case series. International Medical Journal Malaysia, 17(Specialissue1), 109-114.

Technical issues in craniomaxillofacial distraction osteogenesis : A case series. / Adam, Khairul Bariah Chi; Hariri, Firdaus; Cheung, Lim Kwong; Syed Omar, Syed Nabil; Oo, Aung Lwin; Rahman, Zainal Ariff Abdul.

In: International Medical Journal Malaysia, Vol. 17, No. Specialissue1, 01.01.2016, p. 109-114.

Research output: Contribution to journalArticle

Adam, KBC, Hariri, F, Cheung, LK, Syed Omar, SN, Oo, AL & Rahman, ZAA 2016, 'Technical issues in craniomaxillofacial distraction osteogenesis: A case series', International Medical Journal Malaysia, vol. 17, no. Specialissue1, pp. 109-114.
Adam KBC, Hariri F, Cheung LK, Syed Omar SN, Oo AL, Rahman ZAA. Technical issues in craniomaxillofacial distraction osteogenesis: A case series. International Medical Journal Malaysia. 2016 Jan 1;17(Specialissue1):109-114.
Adam, Khairul Bariah Chi ; Hariri, Firdaus ; Cheung, Lim Kwong ; Syed Omar, Syed Nabil ; Oo, Aung Lwin ; Rahman, Zainal Ariff Abdul. / Technical issues in craniomaxillofacial distraction osteogenesis : A case series. In: International Medical Journal Malaysia. 2016 ; Vol. 17, No. Specialissue1. pp. 109-114.
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