Yu Jack C., Fearon Jeffrey, Havlik Robert J., Buchman Steve R., Polley John W.
Augusta, Ga.; Dallas, Texas; Indianapolis, Ind.; Ann Arbor, Mich.; and Chicago, Ill.; From the Section of Plastic Surgery and Craniofacial Center, Medical College of Georgia; the Craniofacial Center, Medical City Dallas Hospital; Riley Hospital for Children, Indiana University School of Medicine, Section of Plastic Surgery; Craniofacial Anomalies Program, C. S. Mott Children’s Hospital, Section of Plastic Surgery, University of Michigan; and Department of Plastic and Reconstructive Surgery and Rush Craniofacial Center, Rush-Presbyterian-St. Luke’s Medical Center.
Plast Reconstr Surg. 2004 Jul;114(1):1E-20E. doi: 10.1097/01.prs.0000128965.52013.95.
: After studying this article, the participant should be able to: 1. Review the biomechanical principles and pertinent cellular and molecular biology of distraction osteogenesis of the craniofacial skeleton. 2. Describe the clinical indications and applications of distraction osteogenesis of the craniofacial skeleton. 3. Describe maxillary, mandibular, midface, and calvarial procedures in distraction osteogenesis. 4. Discuss the clinical outcomes and complications of distraction osteogenesis of the craniofacial skeleton.The year 2002 marked the end of the first decade in clinical distraction osteogenesis of the craniofacial skeleton. In this short period, its application has increased exponentially. More than 3000 cases have been performed according to a recent survey, and more than 700 articles have been written on this subject in the MEDLINE database since 1996. It is a powerful surgical tool and enables surgeons to achieve results not previously attainable. Despite all this, distraction osteogenesis is practiced by only a small number of plastic surgeons. This article reviews the biomechanical principles; the pertinent cellular and molecular biology; and the clinical indications, applications, controversies, and complications of distraction osteogenesis of the craniofacial skeleton.
在学习本文后，参与者应能够：1. 回顾颅面骨骼牵张成骨的生物力学原理以及相关的细胞和分子生物学。2. 描述颅面骨骼牵张成骨的临床适应证和应用。3. 描述上颌、下颌、面中部和颅骨牵张成骨的手术操作。4. 讨论颅面骨骼牵张成骨的临床结果和并发症。2002年标志着颅面骨骼临床牵张成骨第一个十年的结束。在这短暂的时间里，其应用呈指数级增长。根据最近的一项调查，已经进行了3000多例手术，自1996年以来，MEDLINE数据库中关于该主题的文章已超过700篇。它是一种强大的外科工具，使外科医生能够取得以前无法实现的结果。尽管如此，只有少数整形外科医生开展牵张成骨手术。本文回顾了颅面骨骼牵张成骨的生物力学原理、相关的细胞和分子生物学，以及其临床适应证、应用、争议和并发症。
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