Swennen G, Schliephake H, Dempf R, Schierle H, Malevez C
Department of Oral and Maxillofacial Surgery, Medizinische Hochschule Hannover, Germany.
Int J Oral Maxillofac Surg. 2001 Apr;30(2):89-103. doi: 10.1054/ijom.2000.0033.
A review of the literature dealing with distraction osteogenesis (DO) of the craniofacial skeleton, provided by a PUBMED search (National Library of Medicine, NCBI; revised 3 April 2000) from 1966 to December 1999 was conducted. Key words used in the search were distraction, lengthening, mandible, mandibular, maxilla, maxillary, midface, midfacial, monobloc, cranial, craniofacial and maxillofacial. This search revealed 285 articles. One hundred and nine articles were clinically orientated and were analysed in detail in this study. The type of distraction, indications, age, type of surgery, distraction rates and rhythms, latency and contention periods, amount of lengthening, follow-up period, relapse, complications and the nature of the distraction device were analysed. This review revealed that 828 patients underwent DO of the craniofacial skeleton; 579 underwent mandibular DO, 129 maxillary DO, 24 simultaneous mandibular and maxillary DO and 96 midfacial and/or cranial DO. Craniofacial DO has proven to be a major advance for the treatment of numerous congenital and acquired craniofacial deformities. Treatment protocols and success criteria for craniofacial DO are suggested on the basis of these results. There is still, however, a lack of sufficient data, especially on follow-up and relapse, so that treatment strategies have to be validated by long-term studies in the future.
通过美国国立医学图书馆（NCBI）的PUBMED检索工具，对1966年至1999年12月期间有关颅面骨骼牵张成骨（DO）的文献进行了回顾。检索使用的关键词包括牵张、延长、下颌骨、下颌的、上颌骨、上颌的、面中部、面中份、整块、颅骨、颅面和颌面。该检索共找到285篇文章。本研究详细分析了其中109篇临床导向型文章。分析内容包括牵张类型、适应证、年龄、手术类型、牵张速率和节奏、延迟期和竞争期、延长量、随访期、复发情况、并发症以及牵张装置的性质。该综述显示，828例患者接受了颅面骨骼的牵张成骨治疗；其中579例行下颌骨牵张成骨，129例行上颌骨牵张成骨，24例行下颌骨和上颌骨同时牵张成骨，96例行面中部和/或颅骨牵张成骨。颅面牵张成骨已被证明是治疗众多先天性和后天性颅面畸形的一项重大进展。基于这些结果，提出了颅面牵张成骨的治疗方案和成功标准。然而，目前仍缺乏足够的数据，尤其是关于随访和复发的数据，因此未来的治疗策略必须通过长期研究来验证。
