Türk Nöroşirürji Dergisi 2017 , Vol 27 , Num 3
Distraction Methods in Craniofacial Surgery
1Ankara Universitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Ankara, Türkiye
2Liv Hospital, Nöroşirürji Kliniği, İstanbul, Türkiye
3Roma Katolik Üniversitesi, Maksillofasial Cerrahi Bölümü, Roma, İtalya
4Roma Katolik Üniversitesi, Pediatrik Nöroşirürji Bölümü, Roma, İtalya
The orbits are the transition zone between the cranial and the facial bones. Craniofacial deformities associated with syndromic craniosynostosis should be corrected in order to achieve good clinical results. A multidisciplinary approach is needed for the surgical treatment of syndromic craniosynostosis. Various surgical techniques have been applied by neurosurgeons, plastic surgeons and craniofacial surgeons recently. Distraction osteogenesis is a technique of generating new bone by stretching the callus. Distraction forces applied to bone also create tension in the surrounding soft tissues, initiating a sequence of adaptive changes termed distraction histogenesis. The successful bone healing that occurs in the distraction process is related to the age, regional blood supply, stabilization of the device, latent period and distraction rate and rhythm. Today, distraction of the craniofacial deformities is performed successfully, and its indications are being increased. Both internal craniofacial distractor devices and external craniofacial distractor devices can significantly improve visual and respiratory functions in patients with craniofacial synostosis. They also improve the cosmetic outcome. Satisfactory outcomes were reported in the mandible, middle face and alveolar regions with distraction osteogenesis. Anahtar Kelimeler : Distraction osteogenesis, Craniofacial, Syndromic craniosynostosis