Shand Jocelyn M, Smith Kevin S, Heggie Andrew A
Maxillofacial Surgery Unit, Melbourne Craniofacial Unit, Department of Plastic and Maxillofacial Surgery, Royal Children's Hospital of Melbourne, Melbourne, Victoria 3052, Australia.
Oral Maxillofac Surg Clin North Am. 2004 Nov;16(4):525-40. doi: 10.1016/j.coms.2004.07.004.
In patients with craniofacial syndromes, the skeletal discrepancy is often severe, and the ability to achieve the desired movement by immediate surgical repositioning is difficult because of restrictions of the soft-tissue envelope. The technique of distraction osteogenesis has provided an additional option for managing congenital and acquired craniofacial deformities. The use of distraction osteogenesis is, however, still within its infancy as a treatment modality. It is unlikely that the procedure will obviate the need for definitive orthognathic surgery at skeletal maturity in most patients with craniofacial anomalies. The role of distraction osteogenesis in craniofacial surgery will continue to evolve rapidly with increasing experience and technological advancement. Because distraction osteogenesis in the facial skeleton is a relatively new approach, analysis of the contemporary literature is imperative, and future long-term studies on the effects and outcome of distraction are essential.
在患有颅面综合征的患者中，骨骼差异通常很严重，由于软组织包膜的限制，通过立即手术重新定位来实现所需移动的能力很困难。牵张成骨技术为治疗先天性和后天性颅面畸形提供了另一种选择。然而，作为一种治疗方式，牵张成骨的应用仍处于起步阶段。在大多数患有颅面异常的患者中，该手术不太可能消除骨骼成熟时进行确定性正颌手术的必要性。随着经验的增加和技术的进步，牵张成骨在颅面外科手术中的作用将继续迅速发展。由于面部骨骼的牵张成骨是一种相对较新的方法，对当代文献进行分析势在必行，并且未来对牵张效果和结果的长期研究至关重要。
