Craniofacial Distraction Osteogenesis by Alexander M. Cherkashin, technique mastered by the lead author, Mikhail L. Samchukov, MD. Read Craniofacial Distraction Osteogenesis book reviews & author details and Mikhail L. Samchukov, MD, Associate Director of Ilizarov Research, Texas. Jason B. Cope, Mikhail L. Samchukov, Alexander M. Cherkashin Mechanisms of New Bone Formation During Distraction Osteogenesis: A Preliminary Report.

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The bone cut and sites of pin placement should be marked on either side of the osteotomy. Regenerate disorders This group of complications is the result of inadequate tension disraction to the forming regenerate tissues.

The resulting vector is one of anterior rotation anterior and inferior. Description “Craniofacial Distraction Osteogenesis” showcases the technique that has become one of the hottest topics in orthodontics and oral and maxillofacial surgery today.

Craniofacial Distraction Osteogenesis : Alexander M. Cherkashin :

Specific complications The specific complications of DO are categorised as intra-operative, intradistraction and post-distraction. Br Disraction Oral Maxillofac Surg. Computer-aided surgery in distraction osteogenesis of the maxilla and mandible.

The complications of distraction can be studied by dividing them into two categories, technical complications and general complications. Caplan A, Boyan B.

Many other recent developmental advances include curvilinear, motorized, and hydraulic distraction devices. Buried bidirectional telescopic mandibular distraction.

An animal model analysis. Indigenous extra osseous alveolar distractor. Abstract Distraction osteogenesis has revolutionised the management of craniofacial abnormalities. In order to correct osteogemesis deformities in three- dimensions, independent lengthening of mandibular corpus and ramus must be combined with gradual angular adjustments.

Indigenous internal devices are also economical and locally available. Table 1 Three dimensional clinical facial evaluation form. The central zone is the most cellular and most blastema-like.


Misdirected vector of distraction The vector of distraction needs to be carefully planned so as to maximise the beneficial effects of DO in terms of achieving the functional and occlusal goals. Dental cast analysis Dental casts provide information on the shape of the osteogejesis, symmetry and amount of crowding, curve of spee, shape, number and size of the teeth, diastemata and rotations.

This article has been cited by other articles in PMC. CopeAlexander M. Distractors without simulated craniofacixl tissues were distraciton lateral to the y-axis and above the x-axis. Account Options Sign in. The osteoegnesis of the soft-tissues varies for various types of tissue. A dynamic microenvironment is created with formation of tissue parallel to the distraction vector, Increase and prolongation of angiogenesis, Increased proliferation of spindle shaped fibroblast-like cells, which present a phenotypic variation.

Calcium phosphate ceramics as hard tissue prosthetics. InChin and Toth reported the first clinical application of vertical mandibular alveolar distraction osteogenesis. The distraction device should be secured using the anchoring pins and a test distraction should be performed intraoperatively to make sure that the fixation of the device and the osteotomy is complete.

Craniofacial Distraction Osteogenesis – Mikhail L. Samchukov – Google Books

The first experimental investigation on cranial osteodistraction was performed in by Ceaniofacial and colleagues. Table of contents I. Craniovacial fracture callus in the diaphysis of human long bones.

The distracted limb muscle has been noted to increase in weight during the distraction process but return to normal when the distraction ends. The use of plaster of Paris to fill samchukoc defects in bone. The introduction of these intraoral bone-bourne devices have eliminated the need for bulky, cumbersome extraoral distraction devices which had problems such as external scars, pin tract infections, nerve or tooth bud injuries and poor patient compliance.

The lateral cephalometric radiographs along with the posteroanterior cephalogram offer an effective tool for evaluating the craniofacial structures in transverse and vertical directions. Midface advancement by gradual distraction.


The effect of limb lengthening on skeletal muscle. Statistically significant differences were noted for all measures between similar distractor positions with and without simulated soft tissues.

Unfavourable results with distraction in craniofacial skeleton

Complications associated with the distraction and consolidation periods include inappropriate distraction vector, pin infections, device loosening, device failure, pin tract craniofwcial, soft-tissue entrapment, asymmetrical distraction, premature consolidation, dentigerous cyst formation, coronoid process interference, fibrous pseudoarthrosis, paresthesias and trismus.

Soft-tissue overstretching The forces of distraction in addition to helping swmchukov distraction of the bone ends may also at times lead to soft-tissue overstretching. Treatment planning for DO requires a detailed clinical examination, cephalometric analysis, dental cast analysis and three dimensional computed tomographic 3D CT analysis so that a treatment plan is developed based on occlusive and functional goals. Distrction consolidation phase, remodelling starts, which is the period from full functional loading to the complete remodelling of the newly formed bone.

They are also easy to handle and fixation is done with monocortical screws.

Received Dec; Accepted May. Mechanical signals play an integral role in bone hemostasis. Distance from the callus surface to the activating screw is crucial. Alveolar ridge distraction An intriguing application of the bone transport technique is the augmentation of the maxillary and mandibular alveolar ridges. Distraction osteogenesis is a powerful tool for surgical reconstruction of complex deformities.