Department of Oral and Maxillofacial Surgery, School of Dental Medicine and Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA; Craniofacial Center of Western New York, John Oishei Children's Hospital, Buffalo, NY, USA; Department of Head & Neck/Plastic & Reconstructive Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Int J Oral Maxillofac Surg. 2023 Dec;52(12):1250-1254. doi: 10.1016/j.ijom.2023.07.006. Epub 2023 Jul 31.
The purpose of this article is to report the author's technique for using patient-specific distractors for customized distraction osteogenesis of the mandible in patients with Pierre Robin sequence and upper airway obstruction. The advantages of virtual planning and patient-specific plates in other aspects of craniomaxillofacial surgery, such as orthognathic and reconstructive surgery, have been reported previously. Similar to patient-specific plates, the theorized advantages of patient-specific distractors in infants with Robin sequence and upper airway obstruction include increased accuracy, decreased operating time, and less morbidity to vital anatomic structures such as the inferior alveolar nerve and developing tooth buds. This technique is novel in using patient-specific distractors in the craniomaxillofacial skeleton.
本文旨在报告作者在患有 Pierre Robin 序列和上呼吸道梗阻的患者中使用患者特异性牵开器进行下颌定制牵张成骨的技术。 先前已经报道了虚拟规划和患者特异性板在颅颌面外科的其他方面，如正颌和重建手术中的优势。 类似于患者特异性板，在患有 Robin 序列和上呼吸道梗阻的婴儿中使用患者特异性牵开器的理论优势包括增加准确性、减少手术时间和减少对下牙槽神经和发育中的牙芽等重要解剖结构的发病率。 该技术在颅颌面骨骼中使用患者特异性牵开器是新颖的。
