Sancho M A, Parri F J, Rivera A, Grande C, Sarget R, Casal C, Morales L
Unidad Cráneo-Máxilo-Facial, Servicio de Cirugía Pediátrica, Unitat Integrada Hospital Sant Joan de Déu-Hospital Clinic, Universitat de Barcelona, Barcelona.
Cir Pediatr. 2000 Oct;13(4):167-9.
Thanks to the distraction osteogenesis technique, it is nowadays possible to create new bone in the facial area. Between january 1997 and march 1999 we have performed 20 such procedures, from which 15 were mandibular. We present our experience in 10 patients with this new technique, 5 unilateral and 5 bilateral. Those were 7 boys and 3 girls, aged 2 to 14 years, affected with hemifacial microsomia, Goldenhar syndrome: 3; retrognatism with severe malocclusion: 4; facial assimetry due temporomandibular joint abnormalities: 2; and facial assimetry: 1. The proposed elongation was achieved in all cases. There was not only a skeletal improvement, but also growth and remodeling of the facial soft tissues. Distraction osteogenesis is the early treatment of the mandibulofacial deformities and offers a great deal of advantages to the growing patient.
得益于牵张成骨技术，如今在面部区域制造新骨已成为可能。1997年1月至1999年3月期间，我们实施了20例此类手术，其中15例为下颌骨手术。我们在此介绍10例采用这项新技术患者的经验，其中5例为单侧，5例为双侧。患者为7名男孩和3名女孩，年龄在2至14岁之间，患有半侧颜面短小畸形、戈尔登哈综合征3例；严重错牙合伴下颌后缩4例；颞下颌关节异常导致面部不对称2例；面部不对称1例。所有病例均实现了预期的延长。不仅骨骼得到改善，面部软组织也有生长和重塑。牵张成骨是下颌面部畸形的早期治疗方法，对正在生长发育的患者具有诸多优势。
