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Mandibular Distraction Osteogenesis: A Clinical Experience of the Last 17 Years

Molina, Fernando MD

doi: 10.1097/SCS.0b013e3181b5d4de
Original Articles

Mandibular distraction is the treatment of choice for the surgical correction of mandibular hypoplasia of different etiology. It is a surgical technique that is less invasive and time intensive; also, it has a significantly decreased morbidity rate.

The experience of lengthening mandibles in the last 17 years had shown that in more severe mandibular hypoplasia, better results will be obtained in the long term with earlier treatment, especially in the more severe grades of hemifacial microsomia types IIB and III. Orthodontics plays a very important role to correct postdistraction occlusal changes and to promote a balanced growth.

Besides the impressive aesthetic and functional results obtained in most cases, undoubtedly, the simultaneous expansion of the overlying soft tissues is the mayor advantage of this technique when it is compared with conventional osteotomies.

With this clinical experience in the mandible using distraction osteogenesis, we confirm the farewell to major osteotomies to treat a wide range of deformities of this sophisticate anatomic structure.

From the Department of Plastic and Reconstructive Surgery, Postgraduate Division of the Medical School, Universidad Nacional Autonoma de Mexico and the Hospital General, "Dr Manuel Gea Gonzalez," S.S., Mexico City, Mexico.

Received March 10, 2009.

Accepted for publication March 27, 2009.

Address correspondence and reprint requests to Fernando Molina, MD, Camino a Santa Teresa #1055, PB 06, Colonia Heroes de Padierna, Mexico City 10700, Mexico; E-mail:

This article did not require any sources of funding.

The authors declare that they had no financial interests or commercial associations during the course of this study.

© 2009 Mutaz B. Habal, MD