Bouchard Carl, Troulis Maria J, Kaban Leonard B
Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Harvard School of Dental Medicine, Boston, MA 02114, USA.
Oral Maxillofac Surg Clin North Am. 2009 Nov;21(4):459-75. doi: 10.1016/j.coms.2009.07.001.
Distraction osteogenesis to expand the facial skeleton is an alternative to standard orthognathic surgery for selected patients with obstructive sleep apnea. For children with congenital micrognathia or midface hypoplasia, distraction osteogenesis allows large advancements without the need for bone grafting and with less risk of relapse. For later-onset obstructive sleep apnea, distraction osteogenesis may represent an alternative when acute bone movement is expected to be difficult (scarring from previous surgery or radiation therapy) or when the risk for inferior alveolar nerve damage is unacceptable (patients older than 40 years).
牵张成骨术用于扩展面部骨骼，是为特定阻塞性睡眠呼吸暂停患者提供的一种替代标准正颌手术的方法。对于患有先天性小颌畸形或面中部发育不全的儿童，牵张成骨术可实现大幅度前移，无需植骨，且复发风险较低。对于迟发性阻塞性睡眠呼吸暂停，当预计急性骨移动困难（既往手术或放射治疗造成的瘢痕）或下牙槽神经损伤风险不可接受（年龄超过40岁的患者）时，牵张成骨术可能是一种替代方法。
