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Complications Associated With Gradual Cranial Vault Distraction Osteogenesis for the Treatment of Craniofacial Synostosis

Yonehara, Yoshiyuki MD*; Hirabayashi, Shinichi MD*; Sugawara, Yasushi MD; Sakurai, Atsushi MD; Harii, Kiyonori MD§

Journal of Craniofacial Surgery: July 2003 - Volume 14 - Issue 4 - p 526-528
Clinical Notes
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Distraction osteogenesis has become a standard technique for craniomaxillofacial reconstruction. The authors performed gradual cranial vault distraction osteogenesis in 19 patients with craniosynostosis to study the outcome and complications of this procedure. Postoperative infections developed around the shaft puncture wounds in four patients, including one who required surgical removal of the device. Advanced bone was deformed in one patient. In another, the expansion device was exposed, resulting in a postoperative scar. Despite these complications, the cranium was successfully expanded in all patients.

Tokyo, Japan

From the *Division of Plastic and Reconstructive Surgery, Teikyo University School of Medicine, Division of Plastic and Reconstructive Surgery, Jichi Medical School, Division of Plastic and Reconstructive Surgery, Ohtsuka Metropolitan Hospital, and §Division of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tokyo, Japan.

Address correspondence and reprint requests to Yoshiyuki Yonehara, MD, Division of Plastic and Reconstructive Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, Japan. E-mail: yonehara@med.teikyo-u.ac.jp

© 2003 Mutaz B. Habal, MD