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Article: Meta-analysis of mandibular distraction osteogenesis: Clinical applications and functional outcomes

TitleMeta-analysis of mandibular distraction osteogenesis: Clinical applications and functional outcomes
Authors
Issue Date2008
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.plasreconsurg.com
Citation
Plastic And Reconstructive Surgery, 2008, v. 121 n. 3, p. 54e-69e How to Cite?
AbstractBACKGROUND: Mandibular distraction osteogenesis has been used effectively to treat syndromic craniofacial deformities. In recent years, its scope of application has widened to include treatment of airway obstruction in adults and children and nonsyndromic class II mandibular hypoplasia. So far, there has been no evidence-based review of mandibular distraction osteogenesis for mandibular lengthening. METHODS: Two rounds of searches were performed by two independent assessors. The first-round PubMed search used the keywords "mandible" and "distraction osteogenesis." In the second-round search, the reference lists of the articles were retrieved. For both rounds, abstracts and then full articles were reviewed and selected on the basis of a set of inclusion and exclusion criteria. RESULTS: The 178 retrieved articles yielded 1185 mandibular distraction osteogenesis patients: 539 received unilateral mandibular distraction osteogenesis and 646 received bilateral mandibular distraction osteogenesis. Mandibular distraction osteogenesis was reported to improve facial asymmetry and retrognathia (50.1 percent), correct the slanted lip commissure (24.7 percent), and improve or level the mandibular occlusal plane (11.1 percent) in unilateral asymmetry cases, whereas bilateral mandibular distraction osteogenesis was shown to be effective in preventing tracheostomies for 91.3 percent of neonates or infants with respiratory distress, and in relieving symptoms of obstructive sleep apnea for 97.0 percent of children and 100 percent of adult patients. CONCLUSIONS: Mandibular distraction osteogenesis is effective in treating craniofacial deformities, but further clinical trials are required to assess the long-term stability and to compare the treatment with conventional treatment methods, especially in cases of obstructive sleep apnea or class II mandibular hypoplasia. ©2008American Society of Plastic Surgeons.
Persistent Identifierhttp://hdl.handle.net/10722/65861
ISSN
2015 Impact Factor: 3.087
2015 SCImago Journal Rankings: 1.986
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorOw, ATCen_HK
dc.contributor.authorCheung, LKen_HK
dc.date.accessioned2010-09-06T05:41:36Z-
dc.date.available2010-09-06T05:41:36Z-
dc.date.issued2008en_HK
dc.identifier.citationPlastic And Reconstructive Surgery, 2008, v. 121 n. 3, p. 54e-69een_HK
dc.identifier.issn0032-1052en_HK
dc.identifier.urihttp://hdl.handle.net/10722/65861-
dc.description.abstractBACKGROUND: Mandibular distraction osteogenesis has been used effectively to treat syndromic craniofacial deformities. In recent years, its scope of application has widened to include treatment of airway obstruction in adults and children and nonsyndromic class II mandibular hypoplasia. So far, there has been no evidence-based review of mandibular distraction osteogenesis for mandibular lengthening. METHODS: Two rounds of searches were performed by two independent assessors. The first-round PubMed search used the keywords "mandible" and "distraction osteogenesis." In the second-round search, the reference lists of the articles were retrieved. For both rounds, abstracts and then full articles were reviewed and selected on the basis of a set of inclusion and exclusion criteria. RESULTS: The 178 retrieved articles yielded 1185 mandibular distraction osteogenesis patients: 539 received unilateral mandibular distraction osteogenesis and 646 received bilateral mandibular distraction osteogenesis. Mandibular distraction osteogenesis was reported to improve facial asymmetry and retrognathia (50.1 percent), correct the slanted lip commissure (24.7 percent), and improve or level the mandibular occlusal plane (11.1 percent) in unilateral asymmetry cases, whereas bilateral mandibular distraction osteogenesis was shown to be effective in preventing tracheostomies for 91.3 percent of neonates or infants with respiratory distress, and in relieving symptoms of obstructive sleep apnea for 97.0 percent of children and 100 percent of adult patients. CONCLUSIONS: Mandibular distraction osteogenesis is effective in treating craniofacial deformities, but further clinical trials are required to assess the long-term stability and to compare the treatment with conventional treatment methods, especially in cases of obstructive sleep apnea or class II mandibular hypoplasia. ©2008American Society of Plastic Surgeons.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.plasreconsurg.comen_HK
dc.relation.ispartofPlastic and Reconstructive Surgeryen_HK
dc.rightsPlastic and Reconstructive Surgery. Copyright © Lippincott Williams & Wilkins.en_HK
dc.subject.meshAdolescenten_HK
dc.subject.meshAdulten_HK
dc.subject.meshArthritis, Juvenile Rheumatoid - surgeryen_HK
dc.subject.meshChilden_HK
dc.subject.meshChild, Preschoolen_HK
dc.subject.meshCraniofacial Abnormalities - surgeryen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshInfanten_HK
dc.subject.meshInfant, Newbornen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMandible - surgeryen_HK
dc.subject.meshMandibular Diseases - congenital - surgeryen_HK
dc.subject.meshMandibular Injuries - surgeryen_HK
dc.subject.meshOsteogenesis, Distractionen_HK
dc.subject.meshSleep Apnea, Obstructive - surgeryen_HK
dc.subject.meshTreatment Outcomeen_HK
dc.titleMeta-analysis of mandibular distraction osteogenesis: Clinical applications and functional outcomesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0032-1052&volume=121 &issue=3&spage=p. 54e &epage= 69e&date=2008&atitle=Meta-analysis+of+mandibular+distraction+osteogenesis:+clinical+applications+and+functional+outcomesen_HK
dc.identifier.emailCheung, LK:lkcheung@hkucc.hku.hken_HK
dc.identifier.authorityCheung, LK=rp00013en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/01.prs.0000299285.97379.35en_HK
dc.identifier.pmid18317087en_HK
dc.identifier.scopuseid_2-s2.0-40549115722en_HK
dc.identifier.hkuros140958en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-40549115722&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume121en_HK
dc.identifier.issue3en_HK
dc.identifier.spage54een_HK
dc.identifier.epage69een_HK
dc.identifier.isiWOS:000207666800005-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridOw, ATC=23973480300en_HK
dc.identifier.scopusauthoridCheung, LK=7102302747en_HK
dc.identifier.citeulike9978983-

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