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ORIGINAL ARTICLES - PROSPECTIVE STUDY
Year : 2014  |  Volume : 4  |  Issue : 1  |  Page : 24-29

Role of intraoral distractors in management of cranial synostosis: An initial experience


1 Department of Dental Surgery, AFMC, Pune, Maharashtra, India
2 Department of Oral and Maxillofacial Surgery, AFDC, New Delhi, India
3 Department of Oral and Maxillofacial Surgery, ADC (R and R), New Delhi, India

Correspondence Address:
Vishal Gupta
Department of Oral and Maxillofacial Surgery, AFDC, New Delhi
India
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DOI: 10.4103/2231-0746.133068

PMID: 24987594

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Objective: The objective of the following study is to evaluate the results of strip craniectomy with distraction osteogenesis, using the intraoral distractor devices, as a modality of treatment for craniosynostosis. Materials and Methods: Two cases of cranial synostosis were selected for this study. The cases were operated for strip craniectomy with distraction osteogenesis using a pair of miniaturized intraoral distractor devices. Distraction was carried out after a latency period of 4 days at a rate of 0.5 mm twice a day. Total separation of osteotomized segments achieved was in the range of 25-28 mm. Results: Both patients were evaluated clinico-radiologically at 3, 6 and 12 months postoperatively. There was an increase in the occipital frontal circumference with improvement in the contour of the skull. Both the cases showed marked improvement of bowel habits, bladder control and cognitive behavior. Radiologically copper-beaten appearance reduced considerably suggesting improved intracranial pressure. Conclusion: Combination of distraction osteogenesis with strip craniectomy for the management of craniosynostosis is an effective treatment modality with promising results.


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