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General Category => General Chat => Topic started by: skullremodel on August 27, 2017, 07:53:45 PM

Title: why isnt distraction osteogenesis an option
Post by: skullremodel on August 27, 2017, 07:53:45 PM

Sorry for the dumb question, but why isn't this an option in place of something like a bsso?

Title: Re: why isnt distraction osteogenesis an option
Post by: Lazlo on August 27, 2017, 08:07:59 PM

lol

Title: Re: why isnt distraction osteogenesis an option
Post by: ppsk on August 27, 2017, 08:37:29 PM

to the best of my knowledge, it is thus:

1. BSSO is more predictable, requires less patience compliance/resources/surgeon oversight (i.e traditional jaw surgery options are "one and done", DO for the jaws is two surgeries and requires a lot of patient-surgeon face to face interaction for a number of weeks)
2. DO is a lot more expensive, requires specialized hardware

AFAIK of the surgeons who do regularly use DO methods, they only use them on adults when the retrognathism/microgenia is so pronounced that they literally do not have the space to perform a BSSO safely, so they distract first and then finish with BSSO and genio etc.

Title: Re: why isnt distraction osteogenesis an option
Post by: Eilerson on August 30, 2017, 08:50:28 AM

 Having to wear braces stops some people getting jaw surgery, how many would be prepared to a frame on their face?