Author Topic: why isnt distraction osteogenesis an option  (Read 950 times)

skullremodel

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why isnt distraction osteogenesis an option
« 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?

Lazlo

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Re: why isnt distraction osteogenesis an option
« Reply #1 on: August 27, 2017, 08:07:59 PM »
lol

ppsk

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Re: why isnt distraction osteogenesis an option
« Reply #2 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.


Eilerson

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Re: why isnt distraction osteogenesis an option
« Reply #3 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?