Five years experience with a new intraoral maxillary distraction device (RID)

• Published in: British journal of oral & maxillofacial surgery Vol. 49; no. 7; pp. 546 - 551
• Main Authors: Picard, Arnaud, Diner, Patrick A, Galliani, Eva, Tomat, Catherine, Vazquez, Ma rie Paule, Carls, Friedrich P
• Format: Journal Article
• Language: English
• Published: Kidlington Elsevier Ltd 01.10.2011; Elsevier
• Subjects: Adolescent; Biological and medical sciences; Bone distraction; Bone Plates; Bone Screws; Cephalometry - methods; Child; Cleft; Cleft Lip - surgery; Cleft Palate - surgery; Craniofacial Dysostosis - surgery; Dentistry; Distraction osteogenesis; Equipment Design; External distractor; Female; Follow-Up Studies; Goldenhar Syndrome - surgery; Humans; Internal distractor; Internal Fixators; Male; Maxilla; Maxilla - abnormalities; Maxilla - surgery; Medical sciences; Miniaturization; Orthodontic Brackets; Osteogenesis, Distraction - instrumentation; Osteogenesis, Distraction - psychology; Osteotomy, Le Fort - methods; Otorhinolaryngology. Stomatology; Stainless Steel - chemistry; Surface Properties; Surgery; Young Adult; Zygoma - surgery; Cleft; External distractor; Bone distraction; Distraction osteogenesis; Maxilla; Internal distractor; Oral cavity; Treatment; Stomatology; Surgery; Device; Maxillary
• ISSN: 0266-4356; 1532-1940
• DOI: 10.1016/j.bjoms.2010.08.012

Abstract Maxillary distraction osteogenesis is well established for the treatment of severe retromaxilla. We report our experience since 2004 of the treatment of 19 patients using a new intraoral maxillary distraction device. Maxillary advancement was successful in all patients with mean advancement of 9.6 mm (range 4–17) measured at a point in lateral cephalograms. The new device limited surgical exposure and the amount of materials implanted, and improved control in every phase of the distraction. It was psychologically accepted by patients and was more comfortable than existing devices.