Document Detail

Comparison of perioperative morbidity after LeFort III and monobloc distraction osteogenesis.
MedLine Citation:
PMID:  20226576     Owner:  NLM     Status:  In-Data-Review    
We have compared distraction by monobloc and LeFort III osteotomy in the treatment of midfacial retrusion. We treated 14 patients with midface distraction (Crouzon syndrome (n=9), Apert disease (n=3), and other (n=2)), 7 of whom had monobloc distraction and 7 who had LeFort III osteotomy. We compared duration of operation, peroperative blood loss, and complications. The two groups were comparable with respect to diagnosis, type of distraction (internal or external device), and duration of distraction. The operating time was longer in the monobloc than in the LeFort III group, but not significantly so (p=0.09). The weight-adjusted blood losses were significantly different (66ml/kg and 34ml/kg, respectively (p=0.05). The two groups had similar numbers of complications (p=0.3), and similar duration of hospital stay. Both techniques seem safe. The choice of operation, therefore, should be tailored to the individual patient and the monobloc procedure should be used if indicated.
Torstein R Meling; Hans-Erik Høgevold; Bernt J Due-Tønnessen; Per Skjelbred
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Publication Detail:
Type:  Journal Article     Date:  2010-03-11
Journal Detail:
Title:  The British journal of oral & maxillofacial surgery     Volume:  49     ISSN:  1532-1940     ISO Abbreviation:  Br J Oral Maxillofac Surg     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405235     Medline TA:  Br J Oral Maxillofac Surg     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  131-4     Citation Subset:  D; IM    
Copyright Information:
Copyright © 2010 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
Department of Neurosurgery, The National Hospital, University of Oslo, Gaustadveien, 0027 Oslo, Norway.
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