Rhee Samuel T, Buchman Steven R
Section of Plastic Surgery, University of Michigan Medical Center, Ann Arbor, MI 48109, USA.
J Craniofac Surg. 2003 Sep;14(5):803-8. doi: 10.1097/00001665-200309000-00040.
Pediatric mandibular distraction osteogenesis (MDO) has become a mainstay of treatment for patients with micrognathia and retrognathia. As craniofacial surgeons have gained experience with MDO, the technique has become a safe and durable means of mandibular lengthening that avoids the significant morbidity of conventional surgical treatments. The full impact of this technique has not yet been realized for pediatric patients. Although studies have confirmed durable reconstruction of mandibular length with MDO, the range of applications of this technique is currently limited. As innovative clinicians continue to apply MDO to pediatric clinical craniofacial problems not easily treated with conventional means, the field of MDO will continue to mature. This article discusses current uses and examples of potential future applications of pediatric MDO. The development of novel and creative applications of MDO will advance the management of complex craniofacial anomalies, taking the field of craniofacial surgery into the future.
小儿下颌骨牵张成骨术（MDO）已成为治疗小颌畸形和下颌后缩患者的主要方法。随着颅面外科医生在MDO方面积累了经验，该技术已成为一种安全且持久的下颌骨延长方法，避免了传统手术治疗的严重并发症。这项技术对小儿患者的全面影响尚未完全显现。尽管研究已证实MDO能持久重建下颌骨长度，但该技术目前的应用范围有限。随着创新型临床医生继续将MDO应用于传统方法难以治疗的小儿临床颅面问题，MDO领域将不断成熟。本文讨论了小儿MDO的当前应用以及未来潜在应用的示例。MDO新颖且富有创造性的应用发展将推动复杂颅面畸形的治疗，引领颅面外科领域走向未来。
