Skeletal stability after correction of maxillary hypoplasia by the Glasgow extra-oral distraction (GED) device

Maxillary distraction osteogenesis delivers excellent results, particularly in patients with clefts. In the past, devices such as the conventional facemask and the rigid external distraction device have been used to correct maxillary hypoplasia after a Le Fort I osteotomy. We describe a new device,...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2006-08, Vol.44 (4), p.301-307
Main Authors: Jayade, C.V., Ayoub, A.F., Khambay, B.S., Walker, F.S., Gopalakrishnan, K., Malik, N.A., Srivastava, D., Pradhan, R.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cephalometry
Cleft palate
Cleft Palate - diagnostic imaging
Cleft Palate - surgery
Dentistry
Distraction osteogenesis
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Maxilla - abnormalities
Maxilla - diagnostic imaging
Maxilla - surgery
Maxillary distraction
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Osteogenesis, Distraction - instrumentation
Osteotomy
Osteotomy, Le Fort - adverse effects
Osteotomy, Le Fort - methods
Otorhinolaryngology. Stomatology
Radiography
Reproducibility of Results
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
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Description
Summary:Maxillary distraction osteogenesis delivers excellent results, particularly in patients with clefts. In the past, devices such as the conventional facemask and the rigid external distraction device have been used to correct maxillary hypoplasia after a Le Fort I osteotomy. We describe a new device, the Glasgow extra-oral distraction device. The extent of skeletal and dental stability of corrections achieved in 10 patients with maxillary hypoplasia associated with clefts was satisfactory. This device costs little, can be produced in developing countries, and provides effective treatment for severe secondary deformity associated with clefts.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2005.07.005